Concerns About White Bumps on the Penis: What You Should Know - Urology

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I'm not sure if it is?


I have a white growth resembling a cauliflower on the area between my glans and foreskin.
I'm quite worried, so I'm writing to ask about it.
Besides warts, could there be other normal conditions that could cause similar growths? A few months ago, I traveled to mainland China and had sexual intercourse with someone, so I'm a bit concerned now.
However, prior to that, I had similar white spots on my penis that appeared and then disappeared after a while, which I found strange.
Could you please provide some guidance? Thank you.

Da Tou, 20~29 year old female. Ask Date: 2003/10/13

Dr. Zhang Chengye reply Urology


It may be a normal follicular keratinization, which needs to be confirmed in an outpatient setting.

Reply Date: 2003/10/13

More Info


When it comes to concerns about white bumps on the penis, it is essential to approach the situation with caution and seek professional medical advice. The appearance of white bumps, especially if they resemble cauliflower, can be alarming and may indicate a variety of conditions, some of which require medical attention.

Firstly, the term "cauliflower-like" is often associated with genital warts, which are caused by the human papillomavirus (HPV). HPV is a sexually transmitted infection (STI) that can manifest as small, flesh-colored or white bumps on the genital area. These warts can vary in size and may appear in clusters, resembling the texture of cauliflower. It's important to note that while genital warts are common, they can also be asymptomatic, meaning they may not cause any pain or discomfort.

However, not all white bumps are indicative of genital warts. Other potential causes include:
1. Pearly Penile Papules: These are small, harmless bumps that typically appear around the corona of the glans (the head of the penis). They are a normal anatomical variation and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that can appear on the shaft of the penis. They are sebaceous glands that are not associated with any disease and are completely benign.

3. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection or irritation. It can lead to the formation of small, red or white bumps that may resemble pimples.

4. Lichen Planus: This is an inflammatory condition that can affect the skin and mucous membranes, including the genital area. It may present as white, lacy patches or bumps.

5. Other STIs: Conditions such as herpes or molluscum contagiosum can also present with bumps or lesions in the genital area. Herpes typically causes painful blisters, while molluscum contagiosum leads to small, firm, raised bumps.

Given your recent sexual encounter and the appearance of these bumps, it is crucial to consult a healthcare provider for an accurate diagnosis. A medical professional can perform a physical examination and may recommend tests, such as a swab or biopsy, to determine the exact nature of the bumps.

In the meantime, it is advisable to avoid any sexual activity until you have been evaluated by a healthcare provider. This not only protects your health but also prevents the potential spread of any infections to partners.

In summary, while the presence of white bumps on the penis can be concerning, many causes are benign. However, due to the potential for sexually transmitted infections and other conditions, seeking medical advice is the best course of action. A healthcare provider can provide reassurance, appropriate testing, and treatment options if necessary. Remember, early intervention is key to managing any health concerns effectively.

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