White Bumps Between Glans and Urethra: Causes and Concerns - Urology

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The presence of white bumps between the glans and urethra, particularly in the context you described, can be concerning but may not necessarily indicate a sexually transmitted infection (STI). Based on your description, these bumps are small, flat-topped, and do not cause discomfort, which is a positive sign. Here are some potential causes and considerations regarding your situation:
1. Pearly Penile Papules: These are small, benign bumps that often appear around the corona of the glans. They are common and typically harmless, affecting many men. They are not associated with any disease and do not require treatment.

2. Sebaceous Glands: The bumps you are observing could be enlarged sebaceous glands, which are normal anatomical structures. These glands produce sebum, an oily substance that helps lubricate the skin. If you have a longer foreskin, it may be more difficult to keep the area clean, leading to the accumulation of sebum and the appearance of these bumps.

3. Fordyce Spots: These are small, painless, pale bumps that can appear on the genitalia and are caused by enlarged oil glands. They are completely normal and not a sign of any health issue.

4. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection or irritation. It can cause small red or white bumps but is usually accompanied by discomfort or itching.

5. Other Conditions: While less likely given your description, conditions such as genital warts (caused by HPV) or molluscum contagiosum (a viral infection) can also present as bumps. However, these typically have distinct characteristics and may cause discomfort or other symptoms.

Given that you and your girlfriend are each other's only sexual partners and have no history of STIs, the likelihood of these bumps being an STI is low. However, it is essential to maintain good hygiene, especially if you have a longer foreskin, as this can trap moisture and bacteria, potentially leading to irritation or infection.


Recommendations:
- Hygiene: Ensure that you clean the area regularly, especially under the foreskin, to prevent the buildup of smegma (a combination of dead skin cells and oils).

- Observation: Monitor the bumps for any changes in size, color, or sensation. If they become painful, change in appearance, or if you develop other symptoms (such as discharge or itching), it would be wise to consult a healthcare professional.

- Consultation: If you remain concerned about the bumps or if they do not resolve, consider visiting a dermatologist or urologist for a thorough examination. They can provide a definitive diagnosis and recommend appropriate treatment if necessary.

In conclusion, while the presence of these white bumps can be alarming, they are often benign and not indicative of an STI, especially given your relationship context. However, maintaining good hygiene and consulting a healthcare provider if you have concerns is always a prudent approach to ensure your sexual health.