Small Red Bumps Around the Urethra: Causes and Concerns

There are small red rashes around the urethral opening, and I'm not sure what they are?

I have two small red bumps around the urethral opening.
They are not painful, itchy, or discharging pus.
They are not very noticeable when flaccid, but become more prominent during an erection.
I first noticed them about two weeks ago, and there has been no significant change in size during this time.
I have a few questions for the doctor:
1.
The area around my urethral opening appears darker and redder, and looks somewhat rough.
Based on the photos, does this appear to be normal for a male glans, or could it indicate a condition such as balanitis?
2.
Upon closer inspection, there are two red bumps, one on each side, which are more noticeable during an erection.
However, they have not been painful or itchy.
I am unsure if they have always been there, but I have been observing them for two weeks without any pain, itching, or discharge, and no significant increase in size.
Could this be a normal or benign growth?
3.
It has been a month since my last sexual encounter, and I have experienced no discomfort during this time.
Is it possible that this could be a sexually transmitted infection? Specifically, could this be an early sign of genital warts?
4.
Should I continue to monitor the situation, or should I seek medical attention immediately? Since there is no discomfort, would a doctor find it difficult to determine the cause?

Niming, 20~29 year old female. Ask Date: 2017/08/28

Dr. Xu Wencang reply Urology

It could be chronic dermatitis or pearly penile papules.
If there are irregular protrusions, it may be genital warts, so it is advisable to seek medical attention promptly.
A localized viral test can also be performed, but it will be out-of-pocket.

Reply Date: 2017/08/28

More Info

When it comes to small red bumps around the urethra, there are several potential causes that could explain your symptoms. Based on your description, these bumps are not painful, itchy, or discharging pus, which is a positive sign. However, it is essential to consider various possibilities, including benign conditions, infections, or even sexually transmitted infections (STIs).

1. Normal Variations: It is possible that the red bumps you are observing are normal anatomical variations or benign growths such as pearly penile papules or Fordyce spots. These are common and typically harmless. They can appear as small, painless bumps around the glans or shaft of the penis and are not associated with any disease.

2. Inflammation or Infection: Conditions like balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin) can cause redness and bumps. These conditions can arise from irritation, poor hygiene, or infections, including yeast infections or bacterial infections. If there is no pain or discharge, it may be less likely to be an infection, but it cannot be ruled out entirely.

3. Sexually Transmitted Infections (STIs): While you mentioned that you have not experienced any discomfort and that your last sexual encounter was a month ago, it is still important to consider the possibility of STIs. Some infections, such as genital warts (caused by the human papillomavirus, HPV), can present as small bumps and may not cause immediate symptoms. If there is any concern about potential exposure to STIs, it is advisable to get tested.

4. Observation vs. Immediate Medical Attention: Given that the bumps have not changed in size or appearance over the past two weeks and are not causing any discomfort, it may be reasonable to continue observing them for a short period. However, if you notice any changes—such as increased size, pain, itching, or discharge—it would be prudent to seek medical attention.
5. Consultation with a Healthcare Provider: If you remain concerned about the bumps, or if they persist without improvement, it is advisable to consult a healthcare provider. A doctor can perform a physical examination and may recommend tests or treatments based on their findings. They can provide a more accurate diagnosis and rule out any serious conditions.

In summary, while the presence of small red bumps around the urethra can be concerning, many benign conditions could explain your symptoms. It is essential to monitor the bumps and seek medical advice if there are any changes or if you have any concerns about STIs or other infections. Regular check-ups and open communication with your healthcare provider can help ensure your sexual health and overall well-being.

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