Fordyce Spots: Can They Appear on the Inner Foreskin? - Urology

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Regarding Fordyce spots on the foreskin?


Hello, I would like to ask if Fordyce spots can appear on the inner side of the foreskin.
I have phimosis, but I can retract my foreskin without any issues.
Recently, I noticed a small area on the foreskin while using the restroom; it is not particularly raised, but the color is different, lighter, and it seems to have some small bumps.
Since I only noticed it after retracting the foreskin, it should be located on the inner side near the glans.
I have not had any sexual experience, only masturbation.
I found that pearly penile papules are said to only appear on the glans, so I would like to know if Fordyce spots can also be present on the inner side of the foreskin.

Xiao Kong, 20~29 year old female. Ask Date: 2019/09/17

Dr. Du Shixi reply Urology


Hello: It is possible for there to be different lesions on the foreskin.
It is recommended to consult a urologist for an examination.
Wishing you good health, especially if there are noticeable changes, such as enlargement or an increase in number.

Reply Date: 2019/09/17

More Info


Fordyce spots, also known as Fordyce granules, are small, painless, pale bumps that can appear on the mucosal surfaces of the body, including the lips, inner cheeks, and genital areas. They are sebaceous glands that are not associated with hair follicles and are considered a normal anatomical variant.
To address your specific question: Yes, Fordyce spots can indeed appear on the inner foreskin. While they are more commonly noted on the glans (the head of the penis) and the shaft, they can also be present on the inner surface of the foreskin. The appearance of these spots can vary from person to person, and they may be more noticeable in some individuals, especially if they are lighter in color compared to the surrounding skin.

In your case, since you mentioned that you have a small area on the inner foreskin that is a different color and has some granules, it is possible that these could be Fordyce spots. They are typically harmless and do not require treatment unless they cause discomfort or concern. However, it is essential to differentiate them from other conditions that may present similarly, such as pearly penile papules or other dermatological issues.

Pearly penile papules are small, dome-shaped bumps that are usually found around the corona of the glans and are also considered a normal variant. They are not a sign of any disease and do not require treatment.
If you are experiencing any discomfort, changes in the appearance of the spots, or if you have any concerns about your genital health, it is advisable to consult a healthcare professional. A dermatologist or urologist can provide a thorough examination and help determine whether what you are observing is indeed Fordyce spots or if it might be something else that requires attention.

In summary, Fordyce spots can appear on the inner foreskin, and they are generally benign. However, if you have any doubts or if the spots change in appearance, seeking medical advice is a prudent step to ensure your health and peace of mind.

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