a Small White Bump on the Glans: Causes and Concerns - Urology

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The presence of a small white bump on the glans (the head of the penis) can be concerning, especially if it has persisted for an extended period. Based on your description, there are several potential causes for this bump, and understanding them can help alleviate your concerns.

1. Pearly Penile Papules: One of the most common benign conditions that can present as small white bumps on the glans is pearly penile papules. These are small, dome-shaped, and usually occur in rows around the corona of the glans. They are completely harmless and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that can appear on the glans or shaft of the penis. They are sebaceous glands that are not associated with hair follicles and are considered a normal anatomical variant. Like pearly penile papules, Fordyce spots are benign and do not require treatment.

3. Folliculitis: If the bump resembles a pimple or acne, it could be a case of folliculitis, which is the inflammation of hair follicles. This can occur due to irritation, infection, or blockage of the follicles. If it is not painful or itchy, it may resolve on its own.

4. Cysts: Epidermoid cysts can also appear as small, painless bumps on the skin, including the genital area. These cysts are filled with keratin and are generally harmless.

5. Genital Warts: Caused by the human papillomavirus (HPV), genital warts can appear as small, flesh-colored or white bumps. They may be raised or flat and can vary in size. If you notice any changes in the bump, such as growth or changes in color, it is advisable to seek medical evaluation.

6. Other Conditions: While less common, other conditions such as molluscum contagiosum (a viral infection that causes small, raised, pearl-like bumps) or even a benign tumor could be possibilities.
Given that the bump has been present for six months without any changes, pain, or itching, it is likely to be benign. However, it is always best to consult with a healthcare professional, particularly a dermatologist or urologist, for a thorough examination and accurate diagnosis. They may perform a physical examination and, if necessary, a biopsy to rule out any serious conditions.

In summary, while the small white bump on your glans is likely benign, it is essential to monitor it for any changes. If you experience any new symptoms, such as pain, itching, or changes in size or appearance, seek medical attention promptly. Regular check-ups and open communication with your healthcare provider can help ensure your sexual health remains a priority.