Discomfort After Masturbation: Urethral Sensations and Pearly Penile Papules - Urology

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Discomfort at the urethral opening after masturbation?


On average, masturbating about 3 to 4 times a week sometimes leads to a slight discomfort at the urethral opening after ejaculation, but it resolves after a while.
Additionally, I would like to ask if it is normal for some areas of the glans to appear slightly whitish.
There are also some white bumps along the shaft that have been present for some time, but they are not itchy or painful.
Could this symptom be pearly penile papules?

Niming, 20~29 year old female. Ask Date: 2020/09/14

Dr. Wu Shuyu reply Urology


Continue to monitor, and seek medical consultation if issues arise.

Reply Date: 2020/09/14

More Info


Discomfort after masturbation, particularly sensations in the urethra and the appearance of pearly penile papules, can be concerning for many individuals. It's essential to understand these sensations and the normal variations in penile anatomy to alleviate any anxiety you may have.

Firstly, experiencing discomfort or a slight burning sensation at the urethral opening after ejaculation is not uncommon. This can occur for several reasons, including friction during masturbation, sensitivity of the urethra, or even residual semen in the urethra that may cause temporary irritation. If this discomfort resolves quickly and does not persist, it is generally not a cause for concern. However, if you experience severe pain, prolonged discomfort, or any other unusual symptoms such as discharge, it would be wise to consult a healthcare professional for further evaluation.

Regarding the coloration of the glans (the head of the penis), it is normal for the skin to have variations in color. The glans can appear slightly lighter or darker in different areas, and some individuals may notice patches that are whitish or pearly in appearance. Pearly penile papules (PPP) are small, benign, dome-shaped bumps that typically appear around the corona of the glans and are a normal anatomical variant. They are not harmful and do not require treatment unless they cause discomfort or concern.

The presence of white spots or bumps along the penile shaft or glans can also be attributed to other benign conditions, such as Fordyce spots (small, painless, pale bumps that are sebaceous glands) or sebaceous cysts. These are also normal and do not indicate any disease or infection.

If you have noticed these white bumps for an extended period and they have not changed in size, shape, or color, it is likely that they are indeed pearly penile papules or another benign condition. However, if you have any doubts or if there are changes in the appearance of these bumps, or if you experience any itching, pain, or discharge, it is advisable to seek medical advice. A healthcare provider can perform a physical examination and provide reassurance or treatment options if necessary.

In summary, occasional discomfort after masturbation can be normal, especially if it resolves quickly. The appearance of pearly penile papules is also a common and benign condition. Maintaining good hygiene, using lubrication during masturbation, and being mindful of any changes in your body can help manage discomfort. If you have persistent concerns or symptoms, do not hesitate to consult a healthcare professional for personalized advice and peace of mind.

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