What Could That Bump on My Foreskin Be? Urological Concerns - Urology

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There is a growth on the foreskin?


I have a growth on my foreskin that has been with me for two to three years, and I am very concerned about what it might be.
Could it be genital warts? It doesn't hurt or itch.
I have attached a photo in the link below for the doctor's reference: https://ppt.cc/f3dYKx

Niming, 20~29 year old female. Ask Date: 2021/11/24

Dr. Chen Jiansheng reply Urology


Please seek medical examination.

Reply Date: 2021/11/24

More Info


When it comes to bumps or lesions on the foreskin, there are several potential causes, and understanding these can help alleviate concerns. The bump you describe, which has been present for two to three years without pain or itching, could be one of several benign conditions, but it is essential to consider a few possibilities.

1. Pearly Penile Papules: These are small, dome-shaped bumps that typically appear around the corona of the glans (the head of the penis). They are completely normal anatomical variants and are not associated with any disease or infection. They are harmless and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that can appear on the shaft of the penis or the foreskin. They are sebaceous (oil) glands that are not associated with hair follicles and are also considered a normal variant.

3. Sebaceous Cysts: These are small lumps that can occur anywhere on the skin, including the genital area. They are usually filled with a thick, yellowish substance and are benign. They can sometimes become inflamed or infected, but if they are asymptomatic, they typically do not require treatment.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps. They can be painless and may not itch. If there is any concern about the possibility of warts, especially if there is a history of sexual activity with multiple partners, it is advisable to seek medical evaluation.

5. Other Conditions: Other possibilities include molluscum contagiosum, which is a viral infection that causes small, painless bumps, or other dermatological conditions that may require a dermatologist's evaluation.

Given that the bump has been present for a significant period without any changes in size, color, or symptoms, it is less likely to be a malignant condition. However, it is crucial to have any new or concerning lesions evaluated by a healthcare professional. A urologist or dermatologist can provide a thorough examination, and if necessary, perform a biopsy to rule out any serious conditions.

In summary, while many bumps on the foreskin can be benign and harmless, it is always best to consult with a healthcare provider for an accurate diagnosis and peace of mind. They can offer personalized advice based on a physical examination and any necessary tests. If you are feeling anxious about this bump, do not hesitate to seek medical attention. Your health and well-being are paramount, and addressing your concerns with a professional can help alleviate any worries you may have.

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