Bumps on the Penis: Causes and Treatment Options - Dermatology

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Understanding bumps on the penis, particularly those that resemble pimples or pustules, can be concerning for many individuals. The presence of a yellowish bump near the frenulum (the band of tissue on the underside of the penis) can be attributed to several potential causes, and it is essential to understand these to determine the appropriate treatment options.


Possible Causes
1. Folliculitis: This is an inflammation of the hair follicles, which can occur anywhere on the body, including the genital area. It often presents as small, red, or yellowish bumps that can be painful or itchy. Folliculitis can be caused by bacterial infections, irritation from shaving, or friction from clothing.

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

3. Sebaceous Cysts: These are small lumps that can form when sebaceous glands become blocked. They are usually painless and can appear as yellowish or white bumps.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps. They may resemble pimples but are typically more irregular in shape. Your doctor mentioned that it did not look like "cauliflower," which is a common descriptor for genital warts.

5. Herpes Simplex Virus (HSV): While you indicated that the bump does not resemble herpes lesions, it is essential to consider this possibility, especially if there are accompanying symptoms like pain, itching, or burning.

6. Bacterial Infections: Conditions like folliculitis or abscesses can occur due to bacterial infections, which may require antibiotic treatment.


Treatment Options
Given that you have already consulted a urologist and received treatment for gonorrhea, it is crucial to follow up with your healthcare provider regarding the bump. Here are some general treatment options based on the potential causes:
- Antibiotics: If the bump is due to a bacterial infection, your doctor may prescribe topical or oral antibiotics. It is essential to complete the full course of antibiotics as prescribed.

- Observation: If the bump is not causing significant discomfort and is not associated with other symptoms, your doctor may recommend monitoring it for changes over time.

- Topical Treatments: For conditions like folliculitis, topical antiseptics or antibiotics may be beneficial.

- Surgical Removal: If the bump is a sebaceous cyst or another type of cyst that causes discomfort or concern, your doctor may recommend surgical removal.

- Follow-Up: It is essential to return to your healthcare provider for follow-up evaluations, especially if the bump persists, changes in appearance, or if you develop new symptoms.


Conclusion
While it can be distressing to discover a bump on the penis, many conditions are benign and treatable. It is crucial to maintain open communication with your healthcare provider, follow their recommendations, and report any changes in your symptoms. If you experience increased pain, swelling, or other concerning symptoms, seek medical attention promptly. Remember that maintaining good hygiene and practicing safe sex can help reduce the risk of infections and other complications.