White Bumps on the Urethra and Foreskin: What You Need to Know

Small white spots or bumps on the urethral opening and the foreskin?

Hello Doctor, at the end of last month, I visited a urologist because I noticed some white spots on my foreskin.
The doctor assured me that it was completely safe and nothing to worry about; the spots on my penis were just sebaceous glands, but he advised me not to squeeze them to avoid infection.
Since that visit, I've been checking daily for any unusual signs.
Last night while showering, I noticed what seemed to be a small spot at the opening of my urethra, but it was very subtle.
I would like to know if there can also be sebaceous glands on the glans.
The doctor mentioned a term related to the spots on my foreskin, but I forgot what it was.
I have not engaged in any sexual activity, and I am unsure if genital warts could appear as a spot, but it looks very similar to what I saw on my foreskin.
I'm also curious if such spots could appear near the urethral opening.
Additionally, when I examined the glans more closely with a flashlight, it didn't seem completely smooth; I noticed some fine lines.
Is this normal, or could it indicate broken skin? I've heard that mucous membranes protect the glans, but mine appears to have some wrinkles.
Thank you!

Simon, 10~19 year old female. Ask Date: 2020/05/06

Dr. Liu Mingyue reply Urology

I recommend that you discuss the above situation with your attending physician to determine if further examinations are necessary.
Thank you, and wishing you good health!

Reply Date: 2020/05/06

More Info

When it comes to understanding white bumps on the urethra and foreskin, it is essential to approach the topic with a clear understanding of normal anatomy and potential variations. Based on your description, it seems that you have been experiencing some anxiety regarding the appearance of these bumps, especially after your recent visit to the urologist.

Firstly, it is important to note that the penis, including the foreskin and glans (the head of the penis), can have various normal anatomical features. One common feature is the presence of sebaceous glands, which can appear as small white bumps. These are often referred to as "pearls" or "Fordyce spots." They are completely benign and do not require treatment. The doctor you consulted likely referred to these when discussing the bumps on your foreskin.

Regarding the small point you observed near the urethra, it is possible that this could also be a sebaceous gland or a normal anatomical variation. The urethra itself can have small openings that may appear as tiny dots, which are normal. However, if you notice any changes in color, size, or if they become painful, it is advisable to seek medical attention.

You mentioned concerns about the appearance of warts (condylomata acuminata), which are caused by the human papillomavirus (HPV). While warts can appear in the genital area, they typically have a different texture and appearance compared to sebaceous glands. Warts may feel rough or cauliflower-like, while sebaceous glands are smooth and small. Since you mentioned that you have not engaged in any sexual activity, the likelihood of developing genital warts is significantly reduced, but it is still important to monitor any changes.

The "wrinkled" appearance you described on the glans may be due to the natural folds of the skin or the presence of the mucous membrane that protects the glans. This is normal, and the glans can appear less smooth than other areas of the skin. The mucous membrane serves to keep the area moist and protected, and variations in texture can occur.

If you continue to feel anxious about these observations, it may be helpful to schedule a follow-up appointment with your urologist. They can provide reassurance and further examination if necessary. It is essential to avoid self-diagnosing or attempting to squeeze or manipulate any bumps, as this can lead to irritation or infection.

In summary, the white bumps you are observing are likely normal anatomical features, such as sebaceous glands. The appearance of the urethra and glans can vary among individuals, and minor irregularities are typically not a cause for concern. However, if you notice any significant changes or experience discomfort, do not hesitate to consult a healthcare professional for further evaluation. Your health and peace of mind are important, and a medical professional can provide the best guidance tailored to your specific situation.

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