Glandular Bumps: When to Seek Urological Advice - Urology

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Glans papules


A few years ago, while having intercourse with my girlfriend, I experienced some friction injuries that seemed to have caused a tear on the glans.
I thought it would heal, but it later developed into a growth as shown in the image.
I visited a urologist a long time ago, and the doctor mentioned it might be warts, but it didn't look like them.
It hasn't grown larger over time, so I haven't seen a doctor again, but I still feel a bit concerned.

Yu, 20~29 year old female. Ask Date: 2023/06/02

Dr. Chen Jiansheng reply Urology


Please seek medical attention.

Reply Date: 2023/06/02

More Info


When it comes to understanding glandular bumps, particularly in the context of the urogenital area, it is essential to approach the situation with caution and awareness of potential underlying conditions. Based on your description, it seems you have experienced a minor injury to the glans (the head of the penis) during sexual activity, which has since healed but left you with some bumps. You mentioned that a urologist previously suggested that these bumps might resemble condyloma (commonly known as genital warts), but you are unsure since they have not changed in size over time.


Understanding Glandular Bumps
Glandular bumps can arise from various causes, including infections, benign growths, or even more serious conditions. In your case, the initial injury could have led to a benign condition, such as a scar or a benign cyst. However, it is also possible for sexually transmitted infections (STIs) to present as bumps or lesions in the genital area. Condyloma, for instance, is caused by the human papillomavirus (HPV) and can appear as small, flesh-colored or gray bumps that can be raised or flat.


When to Seek Urological Advice
1. Persistent Symptoms: If the bumps have not changed in size or appearance over an extended period, this is generally a good sign. However, if you notice any changes—such as an increase in size, color change, or discomfort—it is crucial to seek medical advice.

2. New Symptoms: If you experience new symptoms such as itching, pain, bleeding, or discharge, these could indicate an infection or other underlying issues that require medical evaluation.

3. Sexual Health Concerns: Given your history of sexual activity and the initial injury, it is wise to have regular check-ups with a urologist, especially if you have concerns about STIs or other sexually transmitted conditions.

4. Psychological Impact: If the presence of these bumps is causing you anxiety or affecting your sexual health and relationships, it is worthwhile to consult a healthcare professional for peace of mind.


Recommendations for Follow-Up
- Regular Check-Ups: It is advisable to have regular check-ups with a urologist, especially if you have a history of genital lesions or if you are sexually active. A urologist can perform a thorough examination and may recommend tests such as a biopsy if there is any suspicion of malignancy or infection.

- Self-Examination: Regularly examine your genital area for any new changes or developments. Familiarizing yourself with what is normal for your body can help you identify any concerning changes early.

- Safe Sexual Practices: Engaging in safe sexual practices, including the use of condoms, can help reduce the risk of STIs, including HPV, which is associated with genital warts.


Conclusion
While the bumps you describe may not be a cause for immediate concern, it is essential to remain vigilant and proactive about your sexual health. If you have any doubts or if your symptoms change, do not hesitate to seek urological advice. Early intervention can often lead to better outcomes and peace of mind. Remember, your health is paramount, and addressing concerns with a qualified healthcare provider is always the best course of action.

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