Urological Concerns: Regrets and Symptoms Explained

Regretful Man

Hello Dr.
Chen, I have a few questions I would like to ask you:
Question 1: A little over a month ago, I engaged in sexual relations with an unknown woman.
Out of fear, I conducted some self-examinations.
I found several deep red spots of varying sizes on the blood vessels of my genital area, the largest being about 2mm.
Some of these spots are only visible when I pull the skin taut.
I then went to the hospital for electrosurgical treatment (which was quite painful).
Could this be caused by a sexually transmitted infection, or could it be due to another reason? If similar symptoms appear in the future, should I be particularly cautious? Is electrosurgery the only treatment option? If left untreated, what impact could this have on my life?
Question 2: I noticed a line of small white dots along the lower edge of my glans (not very clear).
Could this be a precursor to genital warts?
Question 3: Is it possible for genital warts to appear as small isolated spots that never grow larger (assuming good hygiene and strong immunity)? If genital warts do grow, how long does it typically take for them to become visible? What are their shape and color, and how can I differentiate them from the white spots under the glans?

huai nian, 20~29 year old female. Ask Date: 2003/07/23

Dr. Chen Xiuyi reply Urology

Hello! Genital warts, commonly known as cauliflower, are a type of viral infection that typically grow slowly.
In men, they are more likely to develop on the penile foreskin or glans, and sometimes they can occur at the urethral opening.
The incubation period for genital warts varies from person to person; some may last for several months, but generally, they appear within a week after exposure.
Treatment for genital warts can include electrosurgery, laser vaporization, or cryotherapy, and topical medications may also be applied.
It is usually necessary to treat genital warts when they appear.
A row of small white spots under the coronal sulcus of the glans may be pearly penile papules, which can sometimes be difficult to distinguish from early genital warts.
It is best to consult a urologist for an accurate diagnosis.
Best wishes for your health from Dr.
Chen Hsiu-Yi, Director of the Urology Department at Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/07/23

More Info

Hello! Thank you for reaching out with your questions regarding urological concerns. It's important to address these issues with care and understanding. Let’s break down your questions one by one.

Question 1: Red Bumps on the Penis
The presence of deep red bumps on the penis can be concerning, especially after engaging in unprotected sexual activity. These bumps could be caused by a variety of factors, including sexually transmitted infections (STIs), allergic reactions, or benign conditions such as folliculitis or pearly penile papules. The fact that you had them treated with electrosurgery suggests that a healthcare professional suspected they were problematic, possibly due to their appearance or discomfort.

If these bumps were indeed caused by an STI, it’s crucial to follow up with a healthcare provider for a thorough examination and possibly further testing. STIs can sometimes present with similar symptoms, and early detection is key to effective treatment. If you experience similar symptoms in the future, it’s advisable to seek medical attention promptly rather than self-diagnosing.

Electrosurgery is one method of treatment, but other options may include topical treatments or cryotherapy, depending on the diagnosis. If left untreated, certain conditions could potentially lead to complications, such as pain, discomfort, or even the spread of an infection. Therefore, it’s best to have any new or concerning symptoms evaluated by a healthcare professional.

Question 2: White Spots on the Frenulum
The appearance of white spots on the frenulum (the underside of the penis) can be alarming. While it’s difficult to diagnose without a physical examination, these spots could be a sign of several conditions, including pearly penile papules, which are harmless, or they could indicate a more serious condition such as genital warts (caused by the human papillomavirus, HPV).
Genital warts can appear as small, flesh-colored or white bumps and may cluster together. If you notice any changes in size, color, or texture, or if they become itchy or painful, it’s important to consult a healthcare provider for an accurate diagnosis.

Question 3: Understanding Genital Warts
Genital warts can indeed appear as small, isolated bumps and may not grow significantly if the immune system is strong and the individual maintains good hygiene. However, they can also multiply and grow larger over time. The timeline for growth can vary widely among individuals, depending on their immune response and other factors.

Typically, genital warts may take weeks to months to develop after exposure to HPV. They can vary in appearance, often resembling small cauliflower-like clusters or flat lesions. If you notice any changes in the size or number of bumps, or if they become symptomatic (itchy, painful, etc.), it’s essential to seek medical advice.

Conclusion
In summary, it’s crucial to monitor any changes in your genital area and consult with a healthcare provider for proper evaluation and treatment. Early diagnosis and management can prevent potential complications and provide peace of mind. If you have any further questions or concerns, don’t hesitate to reach out to a medical professional. Your health and well-being are of utmost importance.

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