Bumps on the Glans: What You Need to Know

The glans penis has small nodules in the coronal sulcus?

Hello doctor, I would like to ask about some small bumps on the edge of my glans.
I have read online that this symptom seems to be normal, but I mainly want to ask about the white bumps on both sides of the coronal sulcus of my glans.
I noticed these bumps before I had sexual intercourse, but after my first sexual experience, I started to worry if this could be genital warts.
The bumps are not densely packed; there are more on the right side and fewer on the left, and they do not look like the clusters of genital warts I have seen online.
They are just a few distinct bumps and cannot be washed away.
Previously, I had a lot of smegma in the coronal sulcus (I have phimosis and have not been circumcised), and when I was cleaning, I found that some of these bumps could not be removed.
After paying more attention to hygiene, I noticed these individual bumps, and I am unsure if they are genital warts or another condition.
I would like to ask the doctor for advice.
Thank you! (Also, I would like to know if I can see a dermatologist for this issue.)

Yu, 20~29 year old female. Ask Date: 2019/08/26

Dr. Sun Hongshun reply Urology

Hello, based on what you described, I believe this is either pearly penile papules or a corona glandis papule.
Currently, urologists consider this a normal physiological variation that does not affect health and is not contagious, so there is no need for concern.
However, if you still have questions, I recommend that you follow up in person at a clinic.

Reply Date: 2019/08/26

More Info

When it comes to bumps or lesions on the glans (the head of the penis), it’s important to approach the situation with a clear understanding of the possible causes and the appropriate steps to take. Based on your description, it sounds like you have noticed some white bumps along the corona (the ridge) of the glans, which have been present even before you engaged in sexual activity. You are understandably concerned about the possibility of these bumps being genital warts (caused by the human papillomavirus, or HPV) given their appearance and your recent sexual experience.

Firstly, it’s worth noting that there are several benign conditions that can cause similar appearances on the glans. One common condition is pearly penile papules, which are small, white, harmless bumps that typically appear around the corona of the glans. They are a normal anatomical variant and are not associated with any sexually transmitted infections (STIs). These papules are usually asymptomatic and do not require treatment unless they cause distress or concern.

Another possibility is the presence of smegma, which is a combination of dead skin cells, oils, and other bodily secretions that can accumulate under the foreskin, especially in individuals with phimosis (a condition where the foreskin cannot be easily retracted). Proper hygiene can help reduce the buildup of smegma and may improve the appearance of the glans.

On the other hand, genital warts, which are caused by certain strains of HPV, can also present as small, flesh-colored or white bumps. They may appear singularly or in clusters and can vary in texture. Unlike pearly penile papules, genital warts can be itchy or uncomfortable and may require treatment.

Given that you have not engaged in sexual activity prior to noticing these bumps, it is less likely that they are related to a recent infection. However, it’s important to have any new or concerning lesions evaluated by a healthcare professional to rule out any serious conditions, including STIs.

In terms of seeking medical advice, a dermatologist or a urologist would be appropriate specialists to consult regarding your concerns. They can perform a physical examination and may recommend further testing if necessary. It’s essential to provide them with a complete history, including the duration of the bumps, any changes in appearance, and any associated symptoms (such as itching or pain).

In summary, while the bumps you are describing could be benign, it is always best to err on the side of caution and seek a professional evaluation. This will not only provide you with peace of mind but also ensure that any necessary treatment is initiated promptly if required. Remember, maintaining good hygiene and being aware of any changes in your body are key components of sexual health.

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