Penile Bumps: What to Know About Skin Growths - Urology

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Pearly penile papules on the dorsal side of the penis?


Hello Dr.
Du, I was diagnosed with genital warts at the frenulum of the penis in early August this year and underwent electrosurgery.
I have been continuously monitoring the original wound and surrounding areas, and there have been no significant signs of recurrence.
However, during a routine self-examination last night, I discovered a small bump on the upper midsection of the penis, just under the foreskin, measuring less than 0.1 cm.
It feels similar to a pimple or a raised pore, and I can't help but worry about it.
The bump is currently round, with a smooth surface, and its color is similar to the surrounding tissue, although it is still noticeably reddish.
I have been observing it for three days, and there has been no significant change.
I kindly ask for your assistance.

VV, 20~29 year old female. Ask Date: 2017/09/20

Dr. Du Shixi reply Urology


Hello: If your previous cauliflower was of the same type, it is recommended that you return for a follow-up appointment immediately.
Generally, three days is not sufficient to determine if there is a recurrence.
Wishing you good health.

Reply Date: 2017/09/20

More Info


When it comes to understanding penile bumps, it's important to approach the topic with both medical knowledge and sensitivity. The presence of bumps or growths on the skin of the penis can be concerning, especially after a previous diagnosis of genital warts (condylomata acuminata) and treatment via electrosurgery.
Firstly, it’s crucial to recognize that the skin of the penis, like other areas of the body, can develop various types of growths. These can include benign conditions such as pearly penile papules, folliculitis (inflammation of hair follicles), or sebaceous cysts, as well as more serious conditions like warts or other sexually transmitted infections (STIs).
In your case, the small bump you described, measuring less than 0.1 cm, is likely a benign skin growth, especially if it is smooth, round, and similar in color to the surrounding tissue. The fact that it has not changed significantly over three days is a positive sign, as many benign conditions remain stable and do not progress rapidly.
However, it is essential to differentiate between benign and potentially harmful growths. Genital warts, caused by the human papillomavirus (HPV), can recur after treatment, and new lesions can appear. If the bump you are observing is indeed a wart, it may require further evaluation and treatment. The redness you noted could indicate inflammation, which might be due to irritation or a mild infection, but it is not definitive for any specific condition.

To address your concerns, here are some key points to consider:
1. Observation: Continue to monitor the bump for any changes in size, shape, color, or symptoms such as itching or pain. If it remains stable, it may not be a cause for concern.

2. Consultation: If you have any doubts or if the bump changes, it is advisable to consult a healthcare professional, preferably a dermatologist or urologist. They can provide a thorough examination and may perform a biopsy if necessary to rule out any serious conditions.

3. Prevention: Given your history of genital warts, it is important to practice safe sex to reduce the risk of HPV transmission. Vaccination against HPV is also recommended for eligible individuals, as it can prevent the types of HPV that cause genital warts and certain cancers.

4. Skin Care: Maintain good hygiene and avoid any irritants that may exacerbate skin conditions. Gentle cleansing and moisturizing can help keep the skin healthy.

5. Mental Health: It's natural to feel anxious about changes in your body, especially in sensitive areas. Consider discussing your concerns with a healthcare provider who can offer reassurance and support.

In summary, while the bump you have observed may not be alarming, it is always best to err on the side of caution. Regular self-examinations are important, but professional evaluations are crucial for peace of mind and proper management of any potential issues. If you notice any changes or have further concerns, do not hesitate to seek medical advice.

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