Small White Bumps Near the Penis: Causes and Concerns - Urology

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Small white spots at the base of the penis?


I recently noticed a ring of small white spots near my penis close to the scrotum.
Could this possibly be a sexually transmitted infection or another condition?

Niming, 20~29 year old female. Ask Date: 2017/04/10

Dr. Du Shixi reply Urology


Hello: If there is no sexual activity, it is mostly sebaceous glands, which typically do not enlarge over time.
However, if there is sexual activity or if they do enlarge, it is advisable to seek medical attention.

Reply Date: 2017/04/10

More Info


The appearance of small white bumps near the penis, particularly in the area close to the scrotum, can be concerning and may lead to questions about potential sexually transmitted infections (STIs) or other medical conditions. Based on your description, there are several possible explanations for these bumps, and it is essential to approach this situation with care and proper medical guidance.

One common cause of small white bumps in the genital area is Pearly Penile Papules. These are small, harmless, dome-shaped bumps that typically appear around the corona of the glans (the head of the penis). They are a normal anatomical variant and are not associated with any disease or infection. Pearly penile papules are often mistaken for warts or other lesions, but 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 or the scrotum. These spots are sebaceous glands that are not associated with hair follicles and are completely benign. They are a normal part of human anatomy and do not indicate any health issues.

If the bumps are painful, itchy, or accompanied by other symptoms such as discharge, redness, or swelling, it may indicate a different condition, such as folliculitis (inflammation of hair follicles), pilar cysts, or even genital warts caused by the human papillomavirus (HPV). Genital warts typically appear as small, flesh-colored or white bumps and can be transmitted through sexual contact.

In some cases, small white bumps can also be a sign of molluscum contagiosum, a viral infection that leads to the formation of small, raised, pearly bumps with a dimple in the center. This condition is also contagious and can spread through skin-to-skin contact.

Given the variety of potential causes, it is crucial to consult a healthcare professional for an accurate diagnosis. A dermatologist or urologist can perform a physical examination and may recommend tests if necessary. They can differentiate between benign conditions and those that may require treatment.

In terms of management, if the bumps are determined to be harmless, no treatment may be necessary. However, if they are associated with an infection or another condition, your healthcare provider will recommend appropriate treatment options, which may include topical medications, cryotherapy, or other interventions.

In conclusion, while the presence of small white bumps near the penis can be alarming, many of the potential causes are benign and do not pose significant health risks. However, due to the sensitive nature of the area and the possibility of STIs, it is always best to seek medical advice to ensure proper evaluation and peace of mind. Regular check-ups and open communication with your healthcare provider about any changes in your genital area are essential for maintaining sexual health.

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