Bumps on the Penis: Possible Causes and Concerns - Urology

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There are two blister-like lesions on the blood vessels of the foreskin?


Hello Doctor, I noticed two small blisters, each less than 1mm, on the same blood vessel of my foreskin while showering.
They have been present for some time.
I previously popped one, which bled a little, and after applying medication, the protrusion disappeared after two days.
However, I recently found that it has reappeared in the same location.
It is not painful or itchy, and this situation has been ongoing for a while.
I would like to know if this could be a condition like genital herpes.
Thank you.

Chen, 30~39 year old female. Ask Date: 2023/04/17

Dr. Du Shixi reply Urology


Hello: If the skin is red and then blisters appear, it may indicate an infection.
If there is no redness and blisters form, it is more likely to be herpes.
It is essential to keep the area clean and dry, and to pay attention to your immune system (get plenty of rest and maintain good nutrition).
Generally, it should improve within a week.
If you have diabetes or are concerned, please seek medical attention.

Reply Date: 2023/04/17

More Info


When it comes to bumps on the penis, there are several potential causes, and it's essential to approach this issue with care and consideration. Based on your description of small, blister-like bumps on the same blood vessel under the foreskin, which have reappeared after previously being popped, there are a few possibilities to consider.

1. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans (the head of the penis). They are normal anatomical variations and are not a cause for concern. They do not require treatment unless they cause psychological distress.

2. Fordyce Spots: These are small, painless, pale bumps that are sebaceous (oil) glands that are visible through the skin. They are completely normal and common in many men.

3. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps. They can be itchy or uncomfortable, and while they are not usually painful, they can spread. If you suspect this, it is advisable to consult a healthcare provider for diagnosis and potential treatment.

4. Herpes Simplex Virus (HSV): Genital herpes can cause painful blisters or sores. However, these typically come with other symptoms such as itching, burning, or flu-like symptoms. If you have had previous outbreaks or suspect you might have been exposed, it would be wise to get tested.

5. Folliculitis: This is an inflammation of the hair follicles that can occur anywhere on the body, including the genital area. It can cause small, red bumps that may resemble pimples. If these bumps are tender or painful, it may indicate an infection.

6. Cysts: Sebaceous cysts can form in the genital area and may appear as small bumps. They are usually harmless but can become infected.

Given that the bumps you described do not cause pain or itching, and considering their recurrence after being popped, it is crucial to avoid squeezing or popping them again, as this can lead to infection or scarring.

Recommendations:
- Observation: If the bumps are not causing any discomfort, you might consider monitoring them for any changes in size, color, or symptoms.

- Avoid Irritation: Keep the area clean and avoid any products that may irritate the skin.

- Consult a Healthcare Provider: If the bumps persist, change, or if you develop any new symptoms (such as pain, itching, or discharge), it is essential to consult a healthcare provider. They may perform a physical examination and, if necessary, conduct tests to determine the exact cause of the bumps.


Conclusion:
While many bumps on the penis can be benign, it is always best to err on the side of caution. Consulting a healthcare professional will provide you with peace of mind and ensure that any necessary treatment is administered. Remember, sexual health is an important aspect of overall well-being, and seeking help is a proactive step in maintaining it.

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