Bumps on the Penis: A Urology Perspective - Urology

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When it comes to bumps on the penis, particularly on the foreskin, it is essential to approach the situation with a clear understanding of potential causes and the importance of medical evaluation. The presence of small bumps can be concerning, but many times, they can be benign and not indicative of a serious health issue.

One common cause of bumps on the penis is pearly penile papules, which are small, dome-shaped bumps that typically appear around the corona of the glans (the head of the penis). These are completely normal anatomical variations and are not associated with any disease or infection. They are harmless and do not require treatment unless they cause discomfort or psychological distress.

Another possibility is the presence of Fordyce spots, which are small, painless, pale bumps that can appear on the shaft of the penis. These are sebaceous glands that are visible due to the absence of hair follicles in that area. Like pearly penile papules, Fordyce spots are normal and do not require any treatment.

However, if the bumps are new, changing in appearance, or accompanied by other symptoms such as pain, itching, or discharge, it is crucial to seek medical advice. Conditions such as genital warts, which are caused by the human papillomavirus (HPV), or other sexually transmitted infections (STIs) could present with similar symptoms. Genital warts typically appear as small, flesh-colored or gray growths and may be itchy or uncomfortable.

In some cases, bumps can also be indicative of a more serious condition, such as molluscum contagiosum, which is a viral infection that results in small, raised, painless bumps. This condition is also generally benign but can be contagious.

Given that you have noticed these bumps for about a year without any significant changes, it is reassuring, but it is still advisable to consult a urologist for a thorough examination. A healthcare professional can provide a definitive diagnosis through a physical examination and, if necessary, additional tests such as a biopsy or swab to rule out infections or other conditions.

In summary, while many bumps on the penis can be benign, it is essential to monitor any changes and seek medical advice if there are concerns. Regular check-ups with a urologist can help ensure that any potential issues are addressed early, providing peace of mind and maintaining sexual health. If you have engaged in unprotected sexual activities in the past, discussing STI testing with your healthcare provider is also a prudent step to ensure your overall health and well-being.