Painful Bumps on the Penis and Scrotum: What You Need to Know - Urology

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When it comes to painful bumps on the penis and scrotum, there are several potential causes that could explain your symptoms. Given your description of multiple lumps at the junction of the penis and scrotum, along with pain and the presence of a white or yellowish point on one of the bumps, it is essential to consider a few common conditions.

1. Folliculitis: This is an inflammation of the hair follicles, which can occur anywhere on the body, including the genital area. It often presents as small, red bumps that can be painful and may have pus at the tip. This condition can be caused by bacterial infections, irritation from shaving, or friction from clothing.

2. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the penis. They are typically painless and do not require treatment. However, they can sometimes be confused with other conditions, so it’s important to differentiate them.

3. Sebaceous Cysts: These are small, non-cancerous lumps that can form under the skin. They are usually painless unless they become infected, in which case they can become red, swollen, and painful. The presence of a white or yellowish point could indicate that the cyst is infected or has ruptured.

4. Genital Warts: Caused by the human papillomavirus (HPV), genital warts can appear as small, flesh-colored or gray bumps. They can be painful and may have a cauliflower-like appearance. However, since you mentioned that you have not engaged in sexual activity, this may be less likely unless there was some form of skin-to-skin contact.

5. Herpes Simplex Virus (HSV): If the bumps are accompanied by blisters or sores, it could indicate a herpes infection. This condition is typically associated with pain and discomfort, and it can be transmitted through skin contact.

6. Inguinal Hernia: Although not a bump per se, a hernia can cause a bulge in the groin area and may be painful. This is more common in individuals who have not had prior sexual activity, especially if there is a history of heavy lifting or straining.

Given the pain associated with the bumps and the presence of a white or yellow point, it is crucial to seek medical attention. A healthcare provider can perform a physical examination and may recommend tests to determine the exact nature of the lumps. They may also provide treatment options based on the diagnosis, which could range from topical antibiotics for infections to surgical removal for cysts or other growths.

In the meantime, it is advisable to avoid any irritation to the area, such as tight clothing or vigorous activities, and to maintain good hygiene. Avoiding self-diagnosis and treatment is essential, as improper handling of the area could lead to further complications or infections.

In conclusion, while there are several potential causes for the painful bumps you are experiencing, a thorough evaluation by a healthcare professional is necessary to obtain an accurate diagnosis and appropriate treatment. Do not hesitate to seek medical advice, as early intervention can help prevent complications and alleviate discomfort.