Bumps on the Penis: Causes and Concerns

Pearly penile papules?

Hello Doctor, I would like to ask if the small bumps shown in the photo on the penis have any effects? Could they be sebaceous cysts? Additionally, there are also areas with hair on the skin of the testicles.
Thank you!

wei, 10~19 year old female. Ask Date: 2018/07/08

Dr. Xu Wencang reply Urology

Generally, it is a pearly penile papule or a sebaceous cyst, which does not require treatment.
You may visit an outpatient clinic for examination.

Reply Date: 2018/07/08

More Info

When it comes to bumps on the penis, there are several potential causes, and understanding these can help alleviate concerns. The appearance of small bumps or grains on the penis can be attributed to various benign conditions, but it is essential to differentiate between harmless and potentially concerning issues.

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

Another possibility is 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 their location and are also completely benign. They do not require treatment and are not a sign of any health issue.

Folliculitis is another condition that can cause bumps on the penis. This occurs when hair follicles become inflamed, often due to irritation, infection, or blockage. Folliculitis can present as red, swollen bumps that may be painful or itchy. Treatment typically involves good hygiene, warm compresses, and sometimes topical antibiotics if an infection is suspected.

In some cases, bumps may be due to genital warts, which are caused by the human papillomavirus (HPV). These can appear as small, flesh-colored or gray growths and may be raised or flat. If you suspect that the bumps could be warts, it is crucial to consult a healthcare provider for proper diagnosis and management, as HPV can have implications for sexual health.

Additionally, cysts can form in the genital area, which may present as bumps. These can be sebaceous cysts, which are benign and typically painless. However, if a cyst becomes infected, it may require treatment.

Regarding the hair growth on the scrotum, it is normal for hair to grow in this area, and the presence of hair follicles can sometimes create a bumpy appearance. If there are any changes in the texture or appearance of the skin, or if there are associated symptoms like pain, itching, or discharge, it is advisable to seek medical evaluation.

In summary, while many bumps on the penis and surrounding areas are benign and normal, it is essential to monitor any changes. If the bumps are new, changing, or accompanied by other symptoms such as pain, itching, or discharge, it is best to consult a healthcare professional for an accurate diagnosis and appropriate management. Regular self-examinations and maintaining good hygiene can also help in identifying any concerning changes early on.

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