a Small Bump on the Foreskin: Causes and Solutions

There is a growth on the foreskin?

Hello Doctor: I recently noticed a small protrusion on my foreskin while showering.
It is not painful or itchy, and is slightly smaller than a grain of rice.
Could you please help me understand what this symptom might be? What would you recommend I do? Thank you.
~ Here are the actual images: http://bayimg.com/PANaBAAg http://bayimg.com/PANACaaG

Mr. S, 30~39 year old female. Ask Date: 2018/10/27

Dr. Wu Yuxin reply Dermatology

The Medical Act stipulates that "a physician shall not provide treatment or prescribe medication without personally examining the patient," and therefore, online diagnosis is also not permitted.
If you are experiencing significant distress, it is advisable to seek medical attention as soon as possible.

Reply Date: 2018/10/27

More Info

When it comes to a small bump on the foreskin, there are several potential causes, and understanding these can help determine the appropriate course of action. The bump you described, being small, painless, and not itchy, could be one of several benign conditions.
1. Pearly Penile Papules: These are small, dome-shaped bumps that typically appear around the corona of the glans (the head of the penis). They are completely normal anatomical variations and are not harmful. They usually do not require treatment unless they cause psychological distress.

2. Fordyce Spots: These are small, painless, pale bumps that can appear on the shaft of the penis or the scrotum. They are sebaceous glands that are not associated with any disease and do not require treatment.

3. Sebaceous Cysts: These can occur when a sebaceous gland becomes blocked. They are usually painless and can be found anywhere on the skin, including the genital area. If they become infected or bothersome, they may need to be drained or removed by a healthcare professional.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps. They may be painless but can sometimes itch or cause discomfort. If you suspect this, it’s important to see a healthcare provider for evaluation and potential treatment.

5. Other Conditions: There are other less common conditions, such as molluscum contagiosum, which is a viral infection that results in small, raised bumps.
Given that the bump is not causing you any pain or discomfort, it may not require immediate treatment. However, it is always wise to consult with a healthcare provider for a proper diagnosis, especially if you notice any changes in size, color, or if it starts to cause discomfort.

Recommended Actions:
- Observation: If the bump remains unchanged and does not cause any discomfort, you may choose to monitor it for any changes.

- Consultation: If you have concerns or if the bump changes in appearance, it is advisable to see a urologist or dermatologist. They can provide a thorough examination and may perform a biopsy if necessary to rule out any serious conditions.

- Hygiene: Maintain good hygiene in the genital area to prevent any potential irritation or infection.

Conclusion:
While the presence of a small bump on the foreskin can be concerning, many times these bumps are benign and do not require treatment. However, it is crucial to stay vigilant and consult a healthcare professional if you have any doubts or if the condition changes. Regular check-ups and open communication with your healthcare provider can help ensure your sexual health remains a priority.

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