Bumps on the Penis: Causes and Concerns - Urology

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Doctor, I have some bumps on my glans and foreskin?


Doctor, may I ask: I have multiple small bumps on my foreskin, some are white and some are pink.
There are also many pink bumps on the surface of the glans, and a whole row of white bumps in the coronal sulcus area (this condition has been present for a long time).
Could you please tell me what this is? Is it genital warts or an allergy? I am currently not engaging in sexual activity.

A Jie, 10~19 year old female. Ask Date: 2004/11/04

Dr. Weng Wenzhen reply Urology


Such a condition is caused by long-term irritation, and it is neither warts nor an allergy, and does not require treatment.

Reply Date: 2004/11/04

More Info


When it comes to bumps on the penis, there are several potential causes, and understanding these can help alleviate concerns. Based on your description of white and pink bumps on the foreskin and glans, it’s important to consider a few common conditions.

1. Pearly Penile Papules: These are small, harmless bumps that typically appear around the corona (the ridge of the glans) of the penis. They are usually white or skin-colored and are considered a normal anatomical variation. They are not associated with any disease or infection and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that can appear on the shaft of the penis and are actually enlarged sebaceous (oil) glands. They are also normal and not a cause for concern.

3. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or whitish bumps. They can be raised or flat and may cluster together. If you are concerned about the possibility of genital warts, especially if you have had unprotected sexual contact in the past, it would be wise to consult a healthcare provider for evaluation.

4. Allergic Reactions or Irritation: Sometimes, bumps can result from an allergic reaction to soaps, lotions, or other products that come into contact with the genital area. If you have recently changed any products, consider whether this could be the cause.

5. Folliculitis: This is an inflammation of the hair follicles, which can lead to small red or white bumps. It can occur due to irritation, infection, or blockage of the follicles.

6. Other Conditions: There are other less common conditions, such as molluscum contagiosum (a viral infection that causes small, raised bumps) or more serious conditions like herpes or syphilis, which can also present with bumps or lesions.

Given that you mentioned not currently engaging in sexual activity, it may reduce the likelihood of sexually transmitted infections, but it does not eliminate the possibility of conditions like HPV or other infections that can remain dormant.


Recommendations:
- Consult a Healthcare Provider: The best course of action is to see a dermatologist or urologist who can perform a physical examination and possibly run tests to determine the exact nature of the bumps.

- Avoid Self-Diagnosis: While it’s helpful to gather information, self-diagnosing can lead to unnecessary anxiety or mismanagement of the condition.

- Maintain Hygiene: Keeping the genital area clean and dry can help prevent irritation and infections.

- Monitor Changes: If you notice any changes in the size, color, or number of bumps, or if you experience pain, itching, or discharge, seek medical attention promptly.

In conclusion, while many bumps on the penis can be benign, it is essential to have any new or concerning changes evaluated by a healthcare professional to rule out any serious conditions and to receive appropriate guidance.

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