Painful Penile Bumps: Causes and Treatments - Urology

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Painful penile bumps can be concerning and may arise from various causes. Based on your description of a bump that resembles a pimple, has pus, and is expanding, it is essential to consider several potential conditions. Here are some common causes and treatments for painful penile bumps:

Possible Causes
1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial infection. It can lead to red, painful bumps that may contain pus. Folliculitis can occur in any area of the body where hair follicles are present, including the genital region.

2. Pearly Penile Papules: These are small, harmless bumps that typically appear around the corona of the glans. They are not painful and do not require treatment unless they cause concern.

3. Genital Warts: Caused by the human papillomavirus (HPV), these warts can appear as small, flesh-colored or gray bumps. They may be painful, especially if irritated.

4. Herpes Simplex Virus (HSV): This viral infection can cause painful blisters or sores on the genital area. The initial outbreak may be accompanied by flu-like symptoms.

5. Abscess: A localized collection of pus that can occur due to infection. An abscess can be painful and may require drainage.

6. Cysts: Sebaceous cysts can develop in the genital area and may become inflamed or infected, leading to pain and pus formation.

7. Other Infections: Conditions such as balanitis (inflammation of the glans) or sexually transmitted infections (STIs) can also present with painful bumps.


Recommended Actions
1. Avoid Manipulation: Do not squeeze or pop the bump, as this can worsen the infection or cause further irritation.

2. Maintain Hygiene: Keep the area clean and dry. Use mild soap and water to wash the area gently.

3. Warm Compresses: Applying a warm compress can help reduce pain and promote drainage if an abscess is present.

4. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help alleviate pain and reduce inflammation.

5. Seek Medical Attention: Given the symptoms you described, it is crucial to consult a healthcare provider. They can perform a physical examination, possibly conduct tests, and provide an accurate diagnosis. Depending on the cause, treatments may include antibiotics for bacterial infections, antiviral medications for herpes, or other specific therapies for warts or cysts.

6. Avoid Sexual Activity: Until you have been evaluated and treated, it is advisable to refrain from sexual activity to prevent potential transmission of infections.


Conclusion
Painful bumps on the penis can arise from various conditions, some of which may require medical intervention. It is essential to seek professional medical advice to determine the exact cause and appropriate treatment. Early diagnosis and treatment can help prevent complications and alleviate discomfort. If you experience additional symptoms such as fever, increased swelling, or spreading redness, seek immediate medical attention.