Glans issues
Hello doctor; I recently noticed a ring of bump-like structures around the glans during my showers over the past month.
They are not painful or itchy.
I consulted both a urologist and a dermatologist.
The urologist had varying opinions, with some suggesting observation and others indicating a possible candidal infection.
The dermatologist mentioned it could be sebaceous gland hyperplasia.
Since the urologist and dermatologist provided different diagnoses, I wanted to seek your opinion on this matter.
Thank you for your assistance.
W, 20~29 year old female. Ask Date: 2022/11/23
Dr. Jian Weihong reply Urology
Hello: This facility requires a physician's examination.
If you have concerns, it is recommended to consult the urology department of a large hospital.
Wishing you good health.
Reply Date: 2022/11/23
More Info
When it comes to the appearance of glandular bumps or lesions on the glans (the head of the penis), it is essential to consider various potential causes and seek clarity on the diagnosis. Based on your description of the bumps being ring-like, painless, and itch-free, there are several possibilities to consider.
1. Pearly Penile Papules: These are small, dome-shaped bumps that are often found around the corona of the glans. They are a normal anatomical variant and are not associated with any disease or infection. They are harmless and do not require treatment.
2. Sebaceous Gland Hyperplasia: This condition occurs when the sebaceous glands become enlarged, leading to small, painless bumps. This is also a benign condition and is often mistaken for other skin lesions.
3. Candidiasis (Yeast Infection): If there is a suspicion of a yeast infection, it typically presents with symptoms such as itching, burning, or discharge. However, it can sometimes appear as bumps without significant symptoms. A healthcare provider may recommend antifungal treatment if this is suspected.
4. Lichen Sclerosus: This is a chronic skin condition that can affect the genital area, leading to white patches and changes in the skin texture. It is usually accompanied by itching or discomfort, but in some cases, it may present as bumps.
5. Other Dermatological Conditions: Conditions such as psoriasis or eczema can also affect the genital area, leading to various skin changes, including bumps.
Given that you have seen both a urologist and a dermatologist, and received differing opinions, it is crucial to follow up with a healthcare provider who can perform a thorough examination. Here are some steps you can take:
- Follow-Up Appointment: Schedule a follow-up appointment with a urologist or dermatologist who specializes in genital skin conditions. Bring any previous medical records or notes from your prior visits to provide context.
- Diagnostic Tests: If there is uncertainty, your doctor may recommend a biopsy of the affected area to determine the exact nature of the bumps. This can help rule out any serious conditions.
- Observation: If the bumps are not causing any discomfort and your doctor believes they are benign, they may recommend a period of observation. Keep track of any changes in size, color, or symptoms.
- Treatment Options: If a specific diagnosis is made, your doctor will discuss appropriate treatment options. For benign conditions, treatment may not be necessary, while infections may require topical or oral medications.
In conclusion, while it can be concerning to notice changes in your genital area, many conditions are benign and manageable. It is essential to communicate openly with your healthcare providers, seek a second opinion if necessary, and ensure that you are comfortable with the management plan. If you experience any new symptoms, such as pain, discharge, or changes in urination, seek medical attention promptly. Your health and peace of mind are paramount, and addressing these concerns with a qualified professional will help you achieve clarity and reassurance.
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