Small White Bumps on the Glans: Causes and Concerns - Urology

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Understanding small white bumps on the glans, particularly in the area you described (just below the urethral opening and in the coronal sulcus), can be concerning, especially when they appear without any accompanying symptoms such as pain, itching, or bleeding. Based on your description, these bumps could be a few different things, and it's important to consider their characteristics and any changes over time.

One common cause of small white bumps on the glans is Pearly Penile Papules. These are small, dome-shaped, white or skin-colored bumps that typically appear around the corona of the glans. They are completely benign and are a normal anatomical variation. Pearly penile papules are not associated with any disease and do not require treatment unless they cause psychological distress.

Another possibility is Fordyce Spots, which are small, painless, pale bumps that are sebaceous glands without hair follicles. They can appear on the glans and are also harmless. Like pearly penile papules, Fordyce spots do not require treatment.

You mentioned that the bumps are not painful or itchy and that they have been present for two years. This is a reassuring sign, as most sexually transmitted infections (STIs) or other pathological conditions would typically present with additional symptoms. However, it’s important to differentiate these benign conditions from potential concerns such as genital warts caused by the human papillomavirus (HPV) or other skin conditions.

Genital warts usually appear as small, fleshy growths that can be raised or flat and may have a cauliflower-like appearance. They can be itchy or cause discomfort, and they often appear in clusters. If the bumps you are observing do not resemble this description and have not changed significantly in size or appearance, they are less likely to be warts.

Another condition to consider is lichen sclerosus, which can cause white patches or bumps on the skin of the genital area. This condition is more common in men and can lead to scarring or changes in the skin if left untreated. However, it typically presents with other symptoms such as itching or discomfort.

Given that you have not engaged in sexual activity and the bumps have been stable without any symptoms, it is likely that they are benign. However, it is always best to consult a healthcare professional for an accurate diagnosis. A dermatologist or urologist can perform a physical examination and possibly a biopsy if there is any uncertainty about the nature of the bumps.

In summary, while small white bumps on the glans can often be benign conditions like pearly penile papules or Fordyce spots, it is essential to monitor any changes in size, shape, or symptoms. If you have concerns or if the bumps change in appearance, seeking medical advice is the best course of action. Regular check-ups can provide peace of mind and ensure that any potential issues are addressed promptly.