Penile Pimples: Causes, Concerns, and Treatment Options - Urology

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Penile issues


Hello doctor, yesterday I inquired about the pimples that have appeared near my foreskin.
I would like to know if this could be related to the scar from my previous circumcision surgery, or what might be causing these pimples.
If I have these pimples, should I squeeze them out? I have about 1 or 2 of those small pimples on my penis; I’m not sure if that’s significant.
If I have these small pimples, will it increase the risk of infection during sexual intercourse? Are there really people who have those small pimples that require surgery? Because the last time I went to the clinic, they initially said it was nothing to worry about, but later mentioned that some people might need surgery to remove the areas where the pimples form.
Is that true, or is it sufficient to just maintain good hygiene? Additionally, I would like to ask about the skin that formed at the frenulum after my circumcision.
The doctor said it was necessary to leave some skin to allow for space during an erection to avoid pain, but when I’m not erect, it just sits there.
Is that normal?

Niming, 20~29 year old female. Ask Date: 2019/04/16

Dr. Du Shixi reply Urology


Hello: 1) The wound from the circumcision surgery is unrelated.
2) The presence of sebaceous glands can lead to the formation of acne.
3) Acne can be squeezed or left alone; if squeezed, it is important to keep the area clean and dry.
4) Having only 1 or 2 small acne lesions is not a concern.
5) Small acne lesions do not increase the risk of infection during sexual intercourse.
6) During my last visit to the clinic, they initially said it was fine, but later mentioned that some people undergo surgery to remove the areas prone to acne; is that true? --> I have not personally undergone that.
7) Maintain cleanliness.
8) It is normal to have a lump of skin at the frenulum after circumcision.
Wishing you good health.

Reply Date: 2019/04/16

More Info


Understanding penile pimples can be a source of concern for many individuals, especially when it comes to their implications for health and hygiene. The presence of small bumps or pimples on the penis, particularly around the foreskin area, can arise from various causes.
Firstly, it’s essential to recognize that what you are describing may not necessarily be a cause for alarm. Many men experience small, benign bumps on their genitalia, which can be attributed to several factors. One common cause is the presence of sebaceous glands, which are normal anatomical features that can become more prominent in some individuals. These glands produce sebum, an oily substance that can sometimes lead to the formation of small, painless bumps known as sebaceous cysts or pearly penile papules. These are typically harmless and do not require treatment unless they cause discomfort or concern.

Regarding your question about whether these bumps could be related to a previous circumcision, it is possible but not directly causal. Surgical procedures like circumcision can lead to changes in the skin and tissue of the penis, which may result in the appearance of new skin formations. However, the bumps themselves are usually not a direct result of the surgical site but rather a normal variation in skin texture or the result of other benign conditions.

As for the concern about whether these bumps should be squeezed or removed, it is generally advised against doing so. Squeezing or attempting to pop these bumps can lead to irritation, inflammation, or even infection. If the bumps are not causing any pain or discomfort, it is best to leave them alone. If they change in appearance, become painful, or are accompanied by other symptoms such as discharge or itching, it would be prudent to consult a healthcare professional for further evaluation.

In terms of sexual activity, having these small bumps does not inherently increase the risk of infection for your partner. However, maintaining good hygiene is crucial. Regular washing with mild soap and water can help keep the area clean and reduce the risk of any potential infections.

Regarding surgical options, while some individuals may choose to have bumps removed for cosmetic reasons or if they are symptomatic, this is not a common practice for benign conditions like pearly penile papules. Surgical intervention is typically reserved for cases where there is a significant concern about the nature of the bumps, such as suspicion of a sexually transmitted infection (STI) or other pathological conditions.
Lastly, concerning the skin fold or "bunch" of skin you mentioned after your circumcision, it is normal for there to be some residual skin that allows for movement and flexibility during erections. This skin is necessary to prevent discomfort during sexual activity. If you are experiencing pain or significant discomfort, it would be advisable to discuss this with your healthcare provider, who can assess whether any further intervention is necessary.

In summary, penile pimples are often benign and can result from normal anatomical variations. It is essential to maintain good hygiene and consult a healthcare professional if you have any concerns or if the bumps change in appearance. Surgical options are available but are typically reserved for specific cases. Always prioritize open communication with your healthcare provider to address any concerns you may have regarding your genital health.

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