Hello, doctor. I would like to ask about the small spots on the glans?
Hello Doctor: This week while showering, I noticed a small spot on the glans, which is usually covered by the foreskin.
It generally appears flesh-colored, but when pressed or during an erection, the spot looks slightly whitish and is a flat, round bump, approximately 0.2 centimeters in diameter.
It is not painful, itchy, or bleeding.
The foreskin usually covers it, and I rarely touch that area.
I maintain normal hygiene with daily showers and have not engaged in any sexual activity recently, with no history of inappropriate behavior.
A few months ago, I vaguely felt a small bump while using the restroom, but I didn't pay much attention to it at the time.
I consulted a doctor, and some suggested it might be a type of benign keratosis.
They mentioned that if there is no sexual activity, there is no need to worry about it being an early sign of genital warts, and advised monitoring it.
Others suggested it could be eczema or some type of papule.
Since I still have concerns, I would like to seek your advice, Doctor.
Nìngmíng nán, 40~49 year old female. Ask Date: 2023/12/07
Dr. Du Shixi reply Urology
Hello: It is important to observe for a longer period of time; some lesions may resolve on their own.
However, if they gradually increase in size, you should seek medical attention.
Wishing you good health.
Reply Date: 2023/12/07
More Info
When it comes to small bumps on the glans, particularly in the context you've described, there are several potential causes to consider. The bump you observed, which is flesh-colored and slightly raised, could be benign in nature. Here’s a breakdown of some common possibilities:
1. Pearly Penile Papules: These are small, dome-shaped bumps that are often found around the corona of the glans. They are completely normal anatomical variations and are not associated with any disease or condition. They are harmless and do not require treatment.
2. Sebaceous Cysts: These are small, non-painful lumps that can occur when sebaceous glands become blocked. They are typically flesh-colored and can appear anywhere on the body, including the genital area. If the cyst is not inflamed or infected, it usually does not require treatment.
3. Fordyce Spots: These are small, painless, pale bumps that are actually enlarged sebaceous glands. They are common and harmless, often appearing on the shaft of the penis or the scrotum.
4. Genital Warts (Condyloma Acuminata): These are caused by the human papillomavirus (HPV) and can appear as small, flesh-colored or white bumps. They can be flat or raised and may have a cauliflower-like appearance. However, since you mentioned that you have not engaged in any sexual activity recently, the likelihood of this being the cause is reduced.
5. Eczema or Dermatitis: Skin conditions such as eczema can cause small bumps or patches on the skin, including the genital area. These may be itchy or irritated, but if your bump is not causing any discomfort, this may be less likely.
6. Lichen Planus: This is a condition that can cause small, shiny, flat-topped bumps on the skin, including the genital area. It is often itchy and may require treatment if symptomatic.
Given that you have already consulted with a physician who suggested it might be a benign keratinized growth, it seems that the initial assessment leans towards a non-threatening cause. The fact that the bump is not painful, itchy, or bleeding is reassuring.
However, it is essential to monitor any changes in size, color, or sensation. If the bump becomes painful, changes in appearance, or if you develop any other symptoms (such as discharge or bleeding), it would be prudent to seek further evaluation from a healthcare provider.
In summary, while the bump you described is likely benign, continued observation is key. If you have any lingering concerns or if anything changes, don’t hesitate to follow up with your healthcare provider for a more thorough examination. Regular self-examinations and maintaining open communication with your doctor about any changes in your body are important for your overall health.
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