Glandular Bumps: Causes and Treatment Options - Urology

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Glandular bumps, particularly in the context of the genital area, can arise from various causes, and understanding these can help in determining the appropriate treatment options. Based on your description, it sounds like you may be experiencing a condition related to the prepuce (foreskin) or the glans (head of the penis). Here are some potential causes and considerations regarding your symptoms:

Possible Causes
1. Cysts: The small water-filled bump you described could be a cyst, such as a sebaceous cyst or a mucous cyst. These are generally benign and can occur when a gland becomes blocked, leading to fluid accumulation. They are usually painless unless they become infected.

2. Pearly Penile Papules: These are small, benign bumps that can appear around the corona of the glans. They are normal anatomical variations and do not require treatment unless they cause discomfort or concern.

3. Fordyce Spots: These are small, painless, pale bumps that are actually enlarged sebaceous glands. They are harmless and do not require treatment.

4. Infection or Inflammation: If the bump is associated with pain during urination, it could indicate an infection or inflammation, such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin). This could be due to poor hygiene, irritation, or a sexually transmitted infection.

5. Lichen Sclerosus: This is a chronic inflammatory skin condition that can affect the genital area, leading to white patches and bumps. It may require medical treatment if it causes symptoms.

6. Tumors: While less common, any persistent bump should be evaluated to rule out the possibility of benign or malignant tumors.


Treatment Options
1. Observation: If the bump is not causing pain or discomfort and is not changing in size, observation may be appropriate. Many benign conditions resolve on their own.

2. Hygiene: Maintaining good hygiene can help prevent infections and inflammation. Regular cleaning of the genital area is essential.

3. Topical Treatments: If there is inflammation or irritation, topical corticosteroids may be prescribed to reduce inflammation. Antifungal or antibacterial creams may be necessary if an infection is suspected.

4. Surgical Removal: If the bump is bothersome, persistent, or suspected to be a cyst or other growth, a healthcare provider may recommend surgical removal. This is typically a minor procedure.

5. Medical Evaluation: Given your symptoms, particularly the pain during urination and the persistence of the bump, it is advisable to consult a healthcare provider. They may perform a physical examination and possibly imaging or a biopsy to determine the exact nature of the bump.


When to Seek Medical Attention
You should seek medical attention if:
- The bump changes in size or appearance.

- You experience increased pain, swelling, or redness.

- There is discharge or bleeding from the bump.

- You have persistent pain during urination or other urinary symptoms.

In conclusion, while many glandular bumps are benign and require little to no treatment, it is essential to have any persistent or concerning symptoms evaluated by a healthcare professional. They can provide a proper diagnosis and recommend the most appropriate treatment based on your specific condition.