Painful Red Bumps on the Penis: When to See a Doctor - Urology

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Pimples on the penis?


Hello, I sometimes have a bump that resembles a pimple at the junction of my pubic hair and penis.
It appears red and is painful when pressed.
Sometimes it lasts for over a week and then disappears.
Should I see a urologist or a dermatologist for this?

Huang Jinrong, 20~29 year old female. Ask Date: 2023/08/29

Dr. Du Shixi reply Urology


Hello: That's fine, but urology should be more common.
Wishing you good health.

Reply Date: 2023/08/29

More Info


When it comes to painful red bumps on the penis, it is essential to approach the situation with caution and awareness. The symptoms you describe—red, pimple-like bumps that are painful when pressed and that may disappear after a week—can be indicative of several conditions. These could range from benign issues such as folliculitis or ingrown hairs to more concerning conditions like sexually transmitted infections (STIs) or other dermatological issues.

Understanding the Symptoms:
1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial or fungal infections. It can present as red, painful bumps and may resolve on its own.

2. Ingrown Hairs: If the bumps are located in areas where hair grows, they could be ingrown hairs, which can also become inflamed and painful.

3. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans and are not a cause for concern.

4. STIs: Conditions such as herpes or genital warts can also present with painful bumps. These typically require medical evaluation and treatment.

When to See a Doctor:
Given the nature of your symptoms, it is advisable to see a healthcare provider. You should consider visiting a urologist, as they specialize in male reproductive health and can provide a thorough examination. If you suspect that the bumps could be related to a skin condition, a dermatologist may also be appropriate.
What to Expect During the Visit:
1. Medical History: Be prepared to discuss your symptoms in detail, including when they started, any associated symptoms (like itching or discharge), and any potential exposure to STIs.

2. Physical Examination: The doctor will likely perform a physical examination of the affected area to assess the bumps.

3. Tests: Depending on the findings, the doctor may recommend tests, such as swabs or blood tests, to rule out infections or other conditions.

Self-Care and Management:
While waiting for your appointment, avoid squeezing or picking at the bumps, as this can lead to further irritation or infection. Maintain good hygiene, and consider wearing loose-fitting underwear to reduce friction in the area. If you experience increased pain, swelling, or any discharge, seek medical attention sooner.

Conclusion:
In summary, while the bumps you describe may not be serious, it is crucial to have them evaluated by a healthcare professional to rule out any underlying conditions. A urologist would be the most appropriate specialist to consult for your symptoms, but a dermatologist could also provide valuable insights if the issue is more skin-related. Early evaluation and treatment can help alleviate discomfort and prevent potential complications.

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