Concerns About Glandular Health: Common Questions Answered - Urology

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Please provide more details about the issue related to the glans penis?


Hello doctor, I visited a urologist last week because I noticed a small spot or wrinkle near the urethra on the glans when I pulled back my foreskin while showering.
I was worried it might be a sexually transmitted infection.
After examining me, the doctor said it was nothing to worry about and that it might just be a sebaceous secretion, advising me not to be too anxious since it’s generally not very noticeable.
I’ve noticed that sometimes when I shower, the water makes it less wrinkled and less obvious, but at other times when it’s dry, it appears again.
I would like to ask if it’s common to have acne in that area, or should I not be too concerned about wanting a completely smooth appearance without any wrinkles?

po, 20~29 year old female. Ask Date: 2020/09/12

Dr. Du Shixi reply Urology


Hello: If there are sebaceous glands that are sometimes prominent and sometimes not, and if they are in a fixed location and are getting larger, you should seek medical attention.

Reply Date: 2020/09/12

More Info


When it comes to concerns about glandular health, particularly in the context of the male genital area, it's important to understand that variations in skin texture and the presence of small bumps or indentations can be completely normal. The area around the glans (the head of the penis) can exhibit a range of appearances due to natural anatomical variations, oil gland secretions, and even the effects of hydration.

Firstly, the small point or wrinkle you observed near the urethra is likely a normal anatomical feature. The skin in this area can have natural folds and creases, which may become more pronounced when the skin is dry. When you are hydrated or when water is applied, these wrinkles may appear less noticeable. This variability is common and not typically a cause for concern.

In terms of oil gland secretions, the penis has sebaceous glands that produce oil to keep the skin moisturized. This can sometimes lead to the formation of small bumps, which are often benign and not indicative of any disease. These bumps can be mistaken for acne or other skin conditions, but they are usually just a normal part of skin physiology.

Regarding your concern about sexually transmitted infections (STIs), it is reassuring that your doctor has assessed the area and determined that there is no cause for alarm. STIs often present with additional symptoms such as unusual discharge, pain, or lesions that are different from normal skin variations. If you do not have any of these symptoms, it is unlikely that what you are observing is related to an STI.

It's also worth noting that the desire for completely smooth skin in this area is not realistic for most individuals. The skin's texture can vary significantly from person to person, and having some natural wrinkles or bumps is entirely normal. If you find that these features are causing you anxiety or concern, it may be beneficial to discuss these feelings with a healthcare provider who can provide reassurance and education about normal anatomy.

In summary, the appearance of small bumps or wrinkles around the glans is typically normal and can fluctuate based on hydration and skin condition. If you have been evaluated by a healthcare professional and they have indicated that there is no cause for concern, it is advisable to trust their assessment. Maintaining good hygiene and being aware of any changes in your body is important, but it is equally important to recognize what is considered normal. If you have ongoing concerns, don't hesitate to seek further medical advice for peace of mind.

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