Unidentified Bumps on the Foreskin: HPV or Sebaceous Glands? - Urology

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There is an unknown bump on the foreskin?


During a shower, I noticed white raised lesions located on the inner side of the foreskin, below the corona, numbering approximately 16 to 24 and measuring about 1 to 2 millimeters in diameter.
They are painless and itch-free.
I have not engaged in sexual intercourse but do practice masturbation.
I also have symptoms of sebaceous glands on my skin.
Could this possibly be HPV or symptoms of sebaceous glands?

An Ren, 10~19 year old female. Ask Date: 2016/10/13

Dr. Sun Hongshun reply Urology


A physician must not administer treatment, prescribe medication, or provide a diagnosis without a personal examination.
Therefore, I am unable to diagnose the condition based on this description.
I recommend consulting a dermatologist for a proper diagnosis.
Wishing you good health.

Reply Date: 2016/10/13

More Info


When it comes to identifying bumps on the foreskin, particularly those that are white, small, and painless, there are several potential explanations. The most common benign causes include sebaceous glands or pearly penile papules, which are normal anatomical variations. However, human papillomavirus (HPV) can also present as bumps, specifically as genital warts, which are typically raised and can vary in color and texture.

Sebaceous glands are small oil-producing glands found in the skin, including the genital area. They can sometimes become more prominent or visible, leading to the appearance of small white bumps. These are generally harmless and do not require treatment unless they become bothersome or infected.

On the other hand, HPV is a sexually transmitted infection that can lead to the development of genital warts. These warts can appear as small, flesh-colored or white bumps and may be raised or flat. However, the presence of HPV typically correlates with sexual activity, and since you mentioned that you have not engaged in sexual intercourse, the likelihood of HPV being the cause of your bumps is lower.

It's important to note that while HPV is a common virus, not all strains are associated with genital warts or cancer. Many individuals who contract HPV may not exhibit any symptoms and can clear the virus naturally over time. The fact that you have not experienced any pain, itching, or other symptoms is a positive sign that these bumps may not be related to an infection.

If you are concerned about the nature of these bumps, it is advisable to consult a healthcare professional, such as a dermatologist or urologist. They can perform a physical examination and, if necessary, conduct further tests to determine the exact cause of the bumps. In some cases, a biopsy may be performed to rule out any potential malignancy or infection.

In summary, while the presence of white bumps on the foreskin could potentially be related to HPV, it is more likely that they are sebaceous glands or another benign condition, especially given your lack of sexual activity. Regular check-ups and open communication with your healthcare provider are essential for maintaining sexual health and addressing any concerns you may have. If the bumps change in appearance, become painful, or if you develop any other symptoms, seek medical advice promptly.

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