White Flaky Bumps on Glans After Circumcision: What to Know - Urology

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White, patchy lesions on the glans penis?


Hello, doctor.
I underwent a circumcision two weeks ago, and a week ago, after removing the artificial skin, I noticed some whitish, flaky material on the glans that can be easily peeled off (without pain).
Could this be due to the glans being too dry?

K, 10~19 year old female. Ask Date: 2021/02/03

Dr. Jian Weihong reply Urology


It should just be smegma, which is old dead skin that has metabolized from the foreskin and glans.
It can be easily wiped away after gently moistening it.
If there are any further symptoms such as wet, sticky discharge or unusual odor and itching, it may indicate an infection, and you should seek consultation at a clinic.

Reply Date: 2021/02/03

More Info


After undergoing circumcision, it is not uncommon for patients to notice various changes in the appearance of the glans (the head of the penis). The presence of white flaky bumps or patches on the glans, especially after the removal of a dressing or artificial skin, can be concerning, but it is often a normal part of the healing process.

The white flaky material you are observing could be a few different things:
1. Desquamation: After circumcision, the skin on the glans may undergo a process of shedding or peeling as it heals. This is a normal response as the skin adjusts to being exposed after the removal of the foreskin. The flaky material can be dead skin cells that are sloughing off.

2. Keratinization: The glans is typically moist due to the presence of the foreskin, which protects it. After circumcision, the glans is exposed to air, which can lead to a process called keratinization. This process can cause the skin to become thicker and may result in white patches or flakes.

3. Smegma: This is a combination of dead skin cells, oils, and moisture that can accumulate, especially in the absence of the foreskin. While smegma is more commonly associated with uncircumcised individuals, it can still occur in circumcised individuals, particularly if the glans is not cleaned regularly.

4. Infection or Irritation: While less likely if the bumps are not painful and can be easily removed, it is still important to consider the possibility of a mild infection or irritation. If the area becomes red, swollen, or painful, or if there is any discharge, it would be advisable to consult a healthcare professional.

5. Allergic Reaction: If you have used any new products (such as soaps, lotions, or lubricants) after the circumcision, an allergic reaction could also cause irritation and flaky patches.

In most cases, if the white flaky bumps are not causing discomfort and can be removed easily without pain, they are likely a normal part of the healing process. However, it is essential to maintain good hygiene in the area to prevent any potential buildup of smegma or irritation.

If you are concerned about the appearance of the glans or if you experience any unusual symptoms such as pain, persistent redness, swelling, or discharge, it is important to follow up with your healthcare provider. They can perform a physical examination and provide reassurance or treatment if necessary.

In summary, while the white flaky bumps on the glans after circumcision are often benign and related to the healing process, monitoring the situation and maintaining good hygiene is crucial. If any concerning symptoms arise, seeking medical advice is always the best course of action.

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