Concerns About Small Bumps on the Glans: When to See a Urologist?

Q: Concerns About Small Bumps on the Glans: When to See a Urologist?

Hello： If you have doubts about a diagnosis made by a dermatologist, you should seek medical evaluation at a hospital. <br>Wishing you good health.

I have discovered a very small, uneven object on the glans penis - I kindly request a physician's assistance to examine it?

Hello Doctor,
I apologize for bothering you with some questions and concerns regarding my private area, which can be divided into two parts.

The first part: I accidentally discovered that the glans appears normal when the skin is not pulled back (flattened), showing no abnormalities and feeling smooth to the touch, as shown in the following link: https://imgur.com/TB5miac.
However, when I pull back the skin of the glans, I notice a slightly whitish area that feels somewhat uneven to the touch, with what seems to be a very small bump that is not prominent.
The photos are available here: https://imgur.com/diMYXqn.
I happened to have a magnifying microscope, so I used it to examine the whitish area, which appears slightly different from the surrounding skin.
The photos are as follows (taken from a distance to close-up, with the last one being a slight profile view): https://imgur.com/a/7LEKsGA, https://imgur.com/dRwQbVw.
I visited a dermatologist who used a dermatoscope and mentioned that the whitish area is due to fewer blood vessels.
They did not mention any irregularities or conditions.
Therefore, I would like to ask if this is normal or if I should consult a urologist.
The second part involves a raised area in the pubic hair follicle region that is not smooth and is about 0.2 cm wide.
I also examined it under a microscope, and the photos are here: https://imgur.com/FLrDnJF.
The dermatologist examined it with a dermatoscope and stated it is seborrheic keratosis (commonly known as a liver spot), indicating that it has not increased in size and requires no treatment.
However, I still have concerns, so I would appreciate your assistance in determining if this is normal or if I should see a urologist.
Thank you for taking the time to read this, and I wish you peace and good health.

Mr. Zhou, 30~39 year old female. Ask Date: 2022/02/27

Dr. Du Shixi reply Urology

Hello: If you have doubts about a diagnosis made by a dermatologist, you should seek medical evaluation at a hospital.
Wishing you good health.

Reply Date: 2022/02/27

More Info

When it comes to concerns about small bumps on the glans and other areas of the genital region, it's essential to approach the situation with a clear understanding of what these bumps could represent and when it is appropriate to seek further medical evaluation from a urologist.

From your description, it seems that you have noticed some changes in the skin of the glans, specifically a slightly raised, white area that feels different from the surrounding skin. You also mentioned a separate bump in the area of the foreskin that has been identified as seborrheic keratosis (commonly referred to as a "senile wart").

Understanding the Findings
1. White Area on the Glans: The white area you described could be a normal anatomical variation, such as a Fordyce spot, which are small, painless, pale bumps that are actually enlarged sebaceous glands. They are completely benign and common. However, if the area feels irregular or has changed in texture, it could warrant further investigation.
2. Seborrheic Keratosis: This is a benign skin growth that often appears as a raised, scaly, or waxy bump. They are common in older adults and are generally harmless. The fact that your dermatologist has assessed it and deemed it non-problematic is reassuring.

When to See a Urologist
While the initial assessment from your dermatologist is a good start, there are specific signs and symptoms that should prompt you to seek a urologist's opinion:
- Changes in Size or Shape: If the bumps change in size, shape, or color, this could indicate a need for further evaluation.

- Pain or Discomfort: If you experience any pain, discomfort, or itching in the area, it is advisable to consult a urologist.

- Persistent Symptoms: If the bumps do not resolve or if new symptoms develop, such as discharge or bleeding, a urologist should be consulted.

- Concerns About Cancer: If you have any concerns about the possibility of skin cancer or other malignancies, it is always better to err on the side of caution and seek a specialist's opinion.

Conclusion
In summary, while the findings you described may be benign, it is essential to monitor any changes in the bumps and to pay attention to any new symptoms. If you have lingering doubts or if there are any changes in the characteristics of the bumps, it would be prudent to consult a urologist. They can provide a more specialized evaluation and, if necessary, conduct further tests to rule out any serious conditions.
Remember, your health and peace of mind are paramount, so do not hesitate to seek further medical advice if you feel it is necessary.

Similar Q&A

Understanding Small Bumps on the Glans: When to See a Urologist

Hello, Doctor. I have had a single sexual partner for the past two years, but over the last six months to a year, I have noticed a small bump on the glans that is not very visible to the naked eye. I can only feel it when I touch it with my fingers, and it has a slightly prickly ...

Dr. Du Shixi reply Urology
Hello: I personally recommend having a check-up at a major hospital. If the lesion is of a certain size, it can be excised for pathological examination. Of course, if the physician deems that a pathological assessment is unnecessary, they may make a judgment based on appearance a...

Understanding Bumps on the Glans: When to See a Urologist

Recently, while cleaning my genital area, I noticed that the surface of the glans has raised, hill-like bumps that are shinier than the surrounding skin and slightly red. The area is smaller than 1 square centimeter, and it does not itch or hurt. My urination is normal. I have no...

Dr. Jiang Yini reply Urology
Based on your description, the protruding bumps on the glans are likely not a significant medical concern and may simply be a temporary irritative reaction.

Concerns About Penile Bumps: Should You See a Urologist?

I have had sexual intercourse twice with different partners, once in April and once in June, both times using a condom. However, I experienced some fluctuations in firmness during intercourse and I'm unsure if there are any issues. I don't clearly remember if I had any ...

Dr. Chen Jiansheng reply Urology
Hello, Huang: Issues with the skin in the perineal area are difficult to address through online consultations. Please visit the outpatient clinic for a personal diagnosis by a physician. - Dr. Chen Jian-sheng, Urology Department, Xinying Hospital.

Understanding White Bumps on the Glans: When to Seek Urology Help

There are numerous small white bumps on the glans, some near the urethral opening and others on the surface of the glans, but they can only be clearly seen when erect. The number has been increasing over the past few years, but there is no pain associated with them. I have not en...

Dr. Du Shixi reply Urology
Hello: If you have engaged in sexual activity, it is advisable to get checked; there may not necessarily be any issues, but it's better to be cautious. If you have no sexual experience, it is mostly normal. Wishing you good health.