Bumps Under the Glans: Are They Smegma? - Urology

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When examining bumps under the glans, particularly in the area where the foreskin retracts, it's essential to consider several possibilities. The small, bead-like bumps you describe could indeed be smegma, but there are other potential explanations as well.

Smegma is a substance made up of dead skin cells, oils, and moisture that can accumulate under the foreskin in males who are not circumcised. It often appears as a whitish or yellowish substance and can sometimes form small lumps or bumps. While smegma itself is not harmful, its presence can indicate that proper hygiene practices are not being followed, which can lead to irritation or infections.

However, the bumps you are observing could also be a normal anatomical feature known as pearly penile papules. These are small, dome-shaped bumps that typically appear around the corona of the glans and are completely benign. They are a normal variant and do not require treatment unless they cause discomfort or concern.

Another possibility is the presence of Fordyce spots, which are small, painless, pale bumps that can appear on the shaft of the penis and around the glans. These are sebaceous glands that are not associated with hair follicles and are also harmless.

In some cases, the bumps could be indicative of a condition such as balanitis (inflammation of the glans), which can occur due to poor hygiene, infections, or skin conditions. If the bumps are accompanied by symptoms such as redness, swelling, pain, or discharge, it would be advisable to consult a healthcare professional for a thorough evaluation.

To summarize, while the bumps under the glans could be smegma, they might also represent normal anatomical variations or other benign conditions. Maintaining good hygiene is crucial in preventing the buildup of smegma and reducing the risk of irritation or infection. If you have concerns about the appearance of these bumps or if they are associated with any discomfort, it is best to seek advice from a healthcare provider who can perform a physical examination and provide a more accurate diagnosis.