Recurring Red Bumps on the Penis: Causes and Treatments - Urology

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The penis may develop small red spots that then turn white and form holes?


Hello doctor, sometimes I develop a few bumps on my penis, about 1 to 2 centimeters behind the glans.
Each time it occurs, it appears in the same spot.
Initially, I feel a tightness in my testicles, followed by a slight burning sensation when urinating.
Then, a few small red bumps (about 3 to 5) appear, which eventually rupture and turn into sores that are painful to touch, taking a few days to heal.
The first time this happened, I consulted a doctor who performed blood tests and said it was just a bacterial infection, not herpes, and prescribed antibiotics along with topical tetracycline hydrochloride ointment for the sores.
When it happened a second time, I saw another doctor who also diagnosed it as a bacterial infection.
However, it continues to occur intermittently.
Could you please advise on the possible cause? Thank you.

no name, 30~39 year old female. Ask Date: 2016/10/20

Dr. Sun Hongshun reply Urology


Hello: This description alone is insufficient for a differential diagnosis.
It is recommended to consult a dermatologist during the next episode to confirm the diagnosis and determine subsequent treatment.
Wishing you good health.

Reply Date: 2016/10/20

More Info


The recurring red bumps on your penis, particularly in the area just behind the glans, can be concerning and uncomfortable. Based on your description, it seems that you are experiencing a cycle of irritation and infection that leads to the formation of these bumps, which then rupture and cause pain. This pattern suggests a few potential causes, and understanding them can help in managing and treating the condition effectively.


Possible Causes
1. Bacterial Infection: As you've already been diagnosed with a bacterial infection, it's important to note that certain bacteria can cause localized infections that manifest as red bumps. These infections can occur due to various factors, including poor hygiene, friction, or even irritation from personal care products.

2. Folliculitis: This is an inflammation of the hair follicles, which can occur in the genital area. It can be caused by bacteria, fungi, or irritation from shaving or friction. The symptoms often include red bumps that can become painful and may rupture.

3. Irritation or Allergic Reaction: Sometimes, products such as soaps, lotions, or condoms can cause irritation or an allergic reaction, leading to red bumps. If you have recently changed any products, consider reverting to your previous ones to see if the symptoms improve.

4. Sexually Transmitted Infections (STIs): While you mentioned that previous tests ruled out herpes, other STIs can also cause similar symptoms. It's crucial to have regular check-ups and tests for STIs, especially if you have multiple partners or engage in unprotected sex.

5. Dermatological Conditions: Conditions such as psoriasis or eczema can also present as red bumps in the genital area. These are usually chronic and may require specific treatments.


Treatment Options
1. Antibiotics: Since you've been prescribed antibiotics in the past, it's essential to complete the course as directed. If the bumps recur, you may need to consult your doctor about a different antibiotic or a longer course of treatment.

2. Topical Treatments: The use of topical antibiotics, such as tetracycline ointment, can help manage localized infections. Ensure you apply it as directed and keep the area clean and dry.

3. Hygiene Practices: Maintaining good hygiene is crucial. Gently wash the area with mild soap and water, and avoid using harsh products that can irritate the skin. After washing, ensure the area is thoroughly dried.

4. Avoiding Irritants: If you suspect that certain products may be causing irritation, discontinue their use. This includes soaps, lotions, and even certain types of underwear that may cause friction.

5. Consultation with a Specialist: If the problem persists despite treatment, consider seeing a dermatologist or a urologist. They can provide a more thorough examination and may perform additional tests to rule out other conditions.

6. Lifestyle Modifications: If friction from activities such as cycling or sexual activity seems to exacerbate the condition, consider modifying these activities or using protective barriers.


Conclusion
Recurring red bumps on the penis can be distressing, but with proper management and treatment, you can reduce their frequency and severity. It's essential to follow up with your healthcare provider if symptoms persist or worsen, as they can provide tailored advice and treatment options based on your specific situation. Remember, open communication with your healthcare provider about your symptoms and any changes you notice is key to effective management.

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