Penile Bumps: Causes, Concerns, and Normal Size Range - Urology

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Penile papules


I have many small bumps on my penis that have been there for a long time.
For a while, I felt they were growing, mainly distributed on the midshaft, distal shaft, and glans, with no images provided here: http://imgur.com/a/FLzvy.
They are more noticeable when erect, and occasionally one or two feel particularly rough, with white discharge that can be squeezed out (similar to squeezing a pimple).
There is no pain or itching, and I have no sexual experience.
I previously consulted a dermatologist who said it was related to hormones, but I am still not very reassured, so I would like to ask a urologist: what is the cause of these bumps, and do I need treatment? Additionally, I would like to ask another question: my erect length is about 11-12 cm, and the circumference is around 10 cm.
Is this considered within the normal range?

114, 20~29 year old female. Ask Date: 2016/10/28

Dr. Du Shixi reply Urology


Hello: Regarding issues with the foreskin, please pay attention to whether the lumps are gradually increasing in size (not fluctuating).
Also, check for any ulcers (even if they heal on their own, caution is advised).
In daily life, it is important to keep the area dry and avoid prolonged moisture.
Your issue is likely related to sebaceous glands.
If necessary, please consult a urologist for a definitive diagnosis.
Additionally, the size is considered normal, which is okay.
Thank you for your inquiry.

Reply Date: 2016/10/28

More Info


When it comes to penile bumps, it's important to understand that there are various potential causes, and many of them are benign. The small bumps you've described, particularly if they have been present for a long time and are not associated with pain, itching, or any other discomfort, could likely be a normal anatomical variation or a benign condition.

One common cause of small bumps on the penis is Pearly Penile Papules. These are small, dome-shaped, white or flesh-colored bumps that typically appear around the corona of the glans (the head of the penis). They are completely harmless and are considered a normal anatomical variant. They do not require treatment unless they cause psychological distress.

Another possibility is Fordyce Spots, which are small, painless, pale bumps that can appear on the shaft of the penis. These are sebaceous glands that are not associated with hair follicles and are also a normal finding.

If the bumps are more pronounced, rough, and can be squeezed to release a white substance, they might be sebaceous cysts or keratosis. These are also generally harmless and do not require treatment unless they become infected or bothersome.

In terms of hormonal changes, it is true that fluctuations in hormone levels during puberty can lead to changes in the skin, including the development of these types of bumps. If a dermatologist has already evaluated your condition and deemed it hormonal, it is likely that there is no cause for concern.

Regarding your concerns about the size of your penis, an erect length of 11-12 cm (approximately 4.3-4.7 inches) and a circumference of around 10 cm (approximately 3.9 inches) are within the normal range. Studies have shown that the average erect penis size is about 12.9-15 cm (5.1-5.9 inches) in length and about 11.5 cm (4.5 inches) in circumference. Therefore, your measurements are not unusual and fall within the spectrum of normal sizes.

If you are still feeling uneasy about the bumps or any changes in your body, it is always a good idea to consult with a healthcare professional, preferably a urologist. They can provide a thorough examination and reassurance, as well as discuss any treatment options if necessary.
In summary, while penile bumps can be concerning, many are benign and do not require treatment. Your penis size is also within the normal range. If you have any further questions or if the bumps change in appearance or become symptomatic, seeking medical advice is the best course of action.

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