White Bumps on the Penis: Causes and When to Seek Help

White small particles

Hello, doctor! I am a 25-year-old male and I have a question to ask you.
I have a long foreskin, which means that my glans does not become exposed when I have an erection, and I am planning to schedule a circumcision.
Recently, over the past couple of days, I've noticed some itching in the foreskin area.
Upon closer inspection, I found a cluster of small, whitish bumps on the inner side of my foreskin, about the size of a grain of rice.
There are also similar scattered small bumps in other areas of the inner foreskin.
When I intentionally pulled back the foreskin to examine the glans, I noticed a small white spot along the mushroom-shaped edge of the glans (this is the first time I have fully retracted the foreskin).
However, I am not sure if that is one of the small bumps.
I would like to ask if this could be sebaceous gland secretions or a sexually transmitted infection (like genital warts?).
I only feel a slight itch, and it has been three days since I first noticed it.
There is no pain, and I have no issues with urination.
Could this be transmitted through sexual intercourse or oral sex? Should I seek medical attention immediately, or should I observe it for another week? Thank you for taking the time to answer my question!

Xingyu, 20~29 year old female. Ask Date: 2003/06/19

Dr. Chen Xiuyi reply Urology

Hello! Based on what you described, it should be a cholesteatoma (in the coronal sulcus) rather than a condyloma.
If the glans does not protrude during an erection and the foreskin is relatively long but can be easily retracted for cleaning, surgical treatment may not be necessary.
Best wishes for your health from Dr.
Chen Hsiu-Yi, Director of Urology at Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/06/19

More Info

Understanding white bumps on the penis can be concerning, especially for a young man like yourself. Based on your description, it sounds like you may be experiencing a common condition known as pearly penile papules or possibly a mild case of smegma accumulation due to your longer foreskin. Let’s break down the potential causes and when you should seek medical help.

Possible Causes:
1. Pearly Penile Papules: These are small, harmless, white or skin-colored bumps that typically appear around the corona (the ridge) of the glans (the head of the penis). They are a normal anatomical variant and are not associated with any disease or infection. They usually do not cause any symptoms, such as itching or pain.

2. Smegma: This is a combination of dead skin cells, oils, and moisture that can accumulate under the foreskin if it is not cleaned regularly. Smegma can appear as white or yellowish lumps and may cause irritation or itching. Proper hygiene can help prevent this buildup.

3. Fungal or Bacterial Infections: Conditions like balanitis (inflammation of the glans) can occur, especially in individuals with a longer foreskin. This can lead to symptoms such as itching, redness, and the presence of white patches or bumps.
4. Sexually Transmitted Infections (STIs): While your symptoms do not strongly suggest an STI, it is important to consider this possibility, especially if you have had unprotected sexual contact. Genital warts (caused by the human papillomavirus, HPV) can appear as small, flesh-colored or white bumps.

When to Seek Help:
- Persistent Symptoms: If the itching continues or worsens, or if you notice any changes in the appearance of the bumps (such as increased size, color change, or bleeding), it is advisable to seek medical attention.

- Pain or Discomfort: If you start experiencing pain, discomfort during urination, or any other concerning symptoms, you should consult a healthcare provider.

- Sexual Health Concerns: If you are worried about the possibility of an STI, especially if you have had unprotected sex, it is crucial to get tested. Early detection and treatment can prevent complications and transmission to partners.

- Hygiene Issues: Since you mentioned that you have a longer foreskin, it might be beneficial to discuss with a healthcare provider about the possibility of circumcision, which can help with hygiene and reduce the risk of infections.

Conclusion:
In summary, while the white bumps you are experiencing could be benign, it is essential to monitor your symptoms closely. If the itching persists or if you have any doubts about the nature of the bumps, it is best to consult a healthcare professional. They can provide a proper diagnosis and recommend appropriate treatment if necessary. Remember, maintaining good hygiene and being proactive about your sexual health is key to preventing future issues.

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