Red Bumps Around Urethra: What Could They Mean for Men's Health?

Q: Red Bumps Around Urethra: What Could They Mean for Men's Health?

Hello： 1. There is a slight redness; if there are any safety concerns, you should seek medical attention (however, some people are just more red, while others are paler). 2. If there are rashes or spots that do not change at all, there is no issue. 3. Warts ca

There are two small red bumps around the urethral opening, which are not painful, itchy, or discharging pus?

A few days ago, I asked you a question, but I still have some doubts, so I would like to ask you again.
I have developed two small red spots 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 started noticing them about two weeks ago, and there has been no significant increase in size during this time.
I have a few specific questions for the doctor:
1.
I notice that the area around my urethral opening is darker and redder, and it appears somewhat rough.
Could you take a look at the photos and let me know if this is considered normal for a male glans, or if it indicates a pathological condition, such as balanitis? I have phimosis.
2.
Upon closer inspection, I see that there are two red spots, one on each side, which are more pronounced during an erection, as shown in the images.
However, they have consistently been painless and itch-free.
I am unsure if they have always been there, but I have been observing them for two weeks with no pain, itching, or discharge, and no significant increase in size.
Is it possible that these are normal or benign growths?
3.
The last time I had sexual intercourse was a month ago, and I have experienced no discomfort since then.
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 these spots, or should I seek medical attention immediately? Since there is no discomfort, would it be difficult for a doctor to determine the cause?

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

Dr. Du Shixi reply Urology

Hello: 1.
There is a slight redness; if there are any safety concerns, you should seek medical attention (however, some people are just more red, while others are paler).
2.
If there are rashes or spots that do not change at all, there is no issue.
3.
Warts can appear at unpredictable times; they may protrude, and some may take several months to develop (you will definitely notice when they start to protrude).
4.
It depends on the individual; if you are very anxious, consult a physician for an examination; if you are not anxious, just observe it.

Reply Date: 2017/08/28

More Info

When it comes to red bumps around the urethra, it’s understandable to feel concerned, especially given the sensitive nature of the area and the potential implications for men’s health. Based on your description and the absence of pain, itching, or discharge, there are several possibilities to consider.

1. Normal Variations: It’s possible that what you are observing could be normal anatomical variations. The skin around the urethra can sometimes appear redder or rougher due to various factors, including friction, irritation, or even the natural pigmentation of the skin. If these bumps have not changed in size or appearance over the past two weeks, they may not be a cause for alarm.

2. Pearly Penile Papules: These are small, benign bumps that can appear around the glans (the head of the penis) and are often mistaken for warts or other lesions. They are completely normal and do not require treatment. They typically do not cause any discomfort and are not associated with any sexually transmitted infections (STIs).

3. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection or irritation. If the bumps are small and localized, they could be a mild case of folliculitis, which usually resolves on its own.

4. Balanitis or Posthitis: Given that you mentioned having a long foreskin, there is a possibility of inflammation of the glans (balanitis) or the foreskin (posthitis). This can occur due to poor hygiene, irritation, or infections. Symptoms typically include redness, swelling, and sometimes discharge, but since you are not experiencing these symptoms, it may not be the case.

5. Sexually Transmitted Infections (STIs): While the absence of pain or discharge makes it less likely, it’s still important to consider the possibility of STIs, including genital warts (caused by the human papillomavirus, HPV) or herpes. These conditions can sometimes present with bumps or lesions that may not be painful initially. Given that you had sexual contact a month ago, it would be prudent to consider testing for STIs if you have concerns.

6. Observation vs. Immediate Medical Attention: Since you have been monitoring the bumps for two weeks without any changes or discomfort, it may be reasonable to continue observing them for a short period. However, if you notice any changes in size, color, or if any discomfort arises, it would be wise to seek medical attention. A healthcare provider can perform a physical examination and may recommend tests to rule out any underlying conditions.

In conclusion, while the bumps you are experiencing may not be indicative of a serious issue, it is always best to err on the side of caution when it comes to health concerns, especially in sensitive areas. If you remain uncertain or if the bumps change in any way, consulting a healthcare professional is advisable. They can provide a thorough evaluation and peace of mind regarding your symptoms.

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