Unexplained Spots on the Penis Head: Causes and Concerns

Q: Unexplained Spots on the Penis Head: Causes and Concerns

Hello： It is mostly a change in the skin, which may become more pronounced after congestion. <br>The edges are sometimes unclear, with no protrusions, rashes, or broken skin. <br>The discharge is mostly not indicative of a disease, and since you have not engaged in sexual activit

Unidentified spots appear on the glans of the penis?

Hello, Dr.
Du.
Recently, I have noticed some unexplained spots on the glans of my penis, and I am unsure if they are related to a sexually transmitted infection, a urinary tract infection, or something else.
The spots appeared at the end of July and are not painful, itchy, raised, or accompanied by any discharge.
I do not experience any burning sensation while urinating, and I have not had any sexual relations.
The spots are flat on the surface but feel a bit rough to the touch.
In mid-August, I visited another hospital's urology department, and the doctor told me there was nothing to worry about.
However, recently the number of spots has increased from two to four, and there are also a few that are the size of a pinhead.
I am concerned that they may continue to grow in number or size.
The spots usually appear dark in color, but sometimes, I am unsure if it is due to increased blood flow to the glans, as the spots can temporarily turn into red patches, which look somewhat alarming.
This has been troubling me.

Mr. Tang, 20~29 year old female. Ask Date: 2019/09/21

Dr. Du Shixi reply Urology

Hello: It is mostly a change in the skin, which may become more pronounced after congestion.
The edges are sometimes unclear, with no protrusions, rashes, or broken skin.
The discharge is mostly not indicative of a disease, and since you have not engaged in sexual activity, there is no need to worry too much.
Some patients take photos with their phones when the symptoms are most noticeable to show their doctor during the visit; you may consider this approach, as there are often no obvious issues during the consultation.
Wishing you good health.

Reply Date: 2019/09/21

More Info

When it comes to unexplained spots on the penis head, it is essential to approach the situation with a thorough understanding of potential causes and concerns. Based on your description, the spots are asymptomatic, meaning they do not cause pain, itching, or discharge, which is a positive sign. However, the fact that they have increased in number and changed in appearance warrants further investigation.

There are several potential causes for the spots you are experiencing:
1. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans (the head of the penis). They are often mistaken for sexually transmitted infections (STIs) but are a normal anatomical variant and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that are sebaceous glands without hair follicles. They are common and harmless, often appearing on the shaft of the penis or the scrotum.

3. Lichen Planus: This is an inflammatory condition that can affect the skin and mucous membranes, including the genital area. It may present as flat-topped, purple spots or lesions and can sometimes be itchy.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps. They can be flat or raised and may appear in clusters.

5. Fungal Infections: Conditions like candidiasis can cause spots or patches on the genital area, often accompanied by itching or irritation, though you mentioned you do not have these symptoms.

6. Other Dermatological Conditions: Conditions such as psoriasis or eczema can also manifest in the genital area, leading to changes in skin texture and color.

Given that you have already consulted a urologist and were told there was no significant issue, it is reassuring. However, the increase in the number of spots and their changing appearance should not be ignored. Here are some steps you can take:
- Follow-Up Consultation: It may be beneficial to return to your urologist or seek a second opinion, especially if the spots continue to change or multiply. A dermatologist specializing in genital skin conditions may also provide valuable insights.

- Photographic Documentation: Keep a record of the spots by taking photographs over time. This can help your healthcare provider assess any changes during follow-up visits.

- Avoid Irritants: Ensure that you are using gentle, non-irritating soaps and avoid any harsh chemicals or products that may exacerbate the condition.

- Monitor Symptoms: Keep an eye on any new symptoms that may develop, such as pain, itching, or discharge, and report these to your healthcare provider.

- Consider STI Testing: Although you mentioned no recent sexual activity, if there is any chance of past exposure, it may be prudent to undergo STI testing for peace of mind.

In conclusion, while the spots you are experiencing may be benign, it is essential to remain vigilant and proactive in seeking medical advice. Changes in the genital area can sometimes indicate underlying conditions that require attention, so maintaining open communication with your healthcare provider is crucial. If you have any further concerns or if the situation worsens, do not hesitate to seek immediate medical attention.

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