Vasculitis
Hello doctor, I have a question.
I have a habit of masturbation, and I've been troubled by an issue: there are some small, flesh-like growths in the coronal sulcus of my glans (the circular area just below the glans).
They are not painful or itchy, and they are arranged quite neatly.
I have had a circumcision many years ago, and prior to that, I experienced balanitis, but I haven't had any issues since the circumcision.
Could you please help clarify this for me? Thank you.
Xiao Huang, 0~9 year old female. Ask Date: 2002/10/16
Dr. Chen Xiuyi reply Urology
Hello, Xiao Huang! Based on your complaint, the papules located under the coronal sulcus of the glans are likely pearly penile papules, which are considered a normal variation and typically do not require treatment.
If you have any concerns, please visit a urology outpatient clinic.
Wishing you and your family peace and happiness.
Sincerely, Dr.
Chen Hsiu-Yi, Chief of Urology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2002/10/16
More Info
The concerns you have regarding the small growths in the coronal sulcus of your glans penis are quite common and can be addressed with a thorough understanding of the anatomy and potential conditions that may arise in this area. The coronal sulcus is the groove that separates the glans from the shaft of the penis, and it is a sensitive area that can be affected by various conditions.
1. Understanding the Growths: The small, flesh-colored bumps you are describing could be a variety of benign conditions. One common possibility is the presence of pearls or papules, which are small, harmless growths that can appear on the glans or coronal sulcus. These are often referred to as Pearly Penile Papules (PPP) and are completely normal anatomical variations. They are not associated with any disease and do not require treatment unless they cause discomfort or concern.
2. Other Considerations: While PPP is a common benign condition, other possibilities include sebaceous cysts, which are small lumps filled with oil and can occur in various areas of the body, including the genital region. Another consideration could be molluscum contagiosum, a viral infection that can cause small, painless bumps. However, these typically have a characteristic dimple in the center and may be associated with other symptoms.
3. Symptoms and Diagnosis: Since you mentioned that the growths are not painful or itchy, this is a positive sign that they are likely benign. However, if you notice any changes in size, color, or if they start to cause discomfort, it would be wise to consult a healthcare professional for a proper evaluation. A dermatologist or urologist can provide a definitive diagnosis through a physical examination.
4. Hygiene and Care: Maintaining good hygiene is essential, especially in the genital area. Regular cleaning with mild soap and water can help prevent infections and keep the area healthy. If you have a history of balanitis (inflammation of the glans), it’s crucial to ensure that the area remains clean and dry to prevent recurrence.
5. Impact of Circumcision: You mentioned that you have been circumcised. Circumcision can reduce the risk of certain infections and conditions, including balanitis, but it does not eliminate the possibility of benign growths or other conditions in the coronal sulcus.
6. When to Seek Help: If you experience any new symptoms such as pain, itching, discharge, or if the growths change in appearance, it is important to seek medical advice. Regular self-examinations can help you monitor any changes in your genital health.
In conclusion, the small growths you are observing in the coronal sulcus are likely benign, especially given their painless and non-itchy nature. However, maintaining regular check-ups with a healthcare provider is advisable for peace of mind and to ensure any potential issues are addressed promptly. If you have further concerns or if the situation changes, do not hesitate to reach out to a medical professional for personalized advice and treatment options.
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