Frequent Urination and Pearly Penile Papules: What You Need to Know

Q: Frequent Urination and Pearly Penile Papules: What You Need to Know

Hello： 1) Drink plenty of water, aiming for 2000cc; engage in exercise, avoid sugary drinks, and limit spicy foods. <br>2) Maintain cleanliness and dryness; if there is any growth, seek medical attention.

Inquiry about frequent urination and suspected pearly penile papules?

Inquiry details: 1.
Explanation of frequent urination issue: Recently, regardless of water intake, I have been experiencing frequent urination.
Additionally, I sometimes need to use the restroom every one to two hours.
2.
Suspected pearly penile papules: There are two white spots on both sides of the frenulum of the glans (as shown in the attached image).
I would like to ask the physician to speculate whether this is "pearly penile papules." If so, what should be the subsequent management (although it is not painful or itchy, I find it concerning that something unusual has developed there)? Attached image: https://goo.gl/NSb9ic Regarding the above questions, I kindly ask for the physician's response.
Thank you!

Niming, 20~29 year old female. Ask Date: 2019/01/27

Dr. Du Shixi reply Urology

Hello: 1) Drink plenty of water, aiming for 2000cc; engage in exercise, avoid sugary drinks, and limit spicy foods.
2) Maintain cleanliness and dryness; if there is any growth, seek medical attention.

Reply Date: 2019/01/27

More Info

Frequent urination and the presence of pearly penile papules (PPP) can be concerning for many individuals, especially when they experience these symptoms simultaneously. Let's break down your concerns and provide some clarity on both issues.

Frequent Urination
Frequent urination, or the need to urinate more often than usual, can be caused by a variety of factors. In your case, you mentioned that this occurs regardless of fluid intake, which can be particularly perplexing. Here are some potential causes:
1. Overactive Bladder: This condition is characterized by an urgent need to urinate frequently, often with little warning. It can occur even when the bladder is not full.

2. Urinary Tract Infection (UTI): UTIs can lead to increased frequency of urination, often accompanied by a burning sensation during urination. Even if you do not have other symptoms, it may be worth getting tested.

3. Diabetes: Both type 1 and type 2 diabetes can cause increased urination due to high blood sugar levels, which lead to excess glucose being excreted in the urine.

4. Prostate Issues: In men, conditions affecting the prostate, such as benign prostatic hyperplasia (BPH), can lead to increased urination.

5. Medications: Certain medications, especially diuretics, can cause increased urination.

Given the variety of potential causes, it is advisable to consult a healthcare provider for a thorough evaluation. They may recommend tests such as a urinalysis, blood tests, or imaging studies to determine the underlying cause of your frequent urination.

Pearly Penile Papules
Pearly penile papules are small, benign growths that typically appear around the corona of the glans (the head of the penis). They are often mistaken for sexually transmitted infections or other conditions, but they are actually a normal anatomical variant. Here are some key points about PPP:
1. Benign Nature: PPP are harmless and do not require treatment. They are not contagious and do not pose any health risks.

2. Appearance: They usually appear as small, white or flesh-colored bumps and are often arranged in a single or double row around the glans.

3. Management: If the appearance of PPP is bothersome, some individuals choose to have them removed for cosmetic reasons. This can be done through various methods, including laser therapy or cryotherapy, but it is not necessary from a medical standpoint.

4. Self-Care: Maintaining good hygiene and avoiding irritation to the area can help manage any discomfort or concerns related to PPP.

Conclusion
In summary, while frequent urination can be indicative of various medical conditions, pearly penile papules are generally harmless and do not require treatment. It is essential to consult with a healthcare professional to address your frequent urination, as they can provide a proper diagnosis and treatment plan tailored to your specific situation. If you are concerned about the appearance of PPP, discussing this with your doctor can help you explore your options, but rest assured that they are not a cause for alarm.
Remember, open communication with your healthcare provider is key to addressing any health concerns effectively.

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