Penile Skin Conditions: A Urology Perspective - Urology

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Hello, doctor?


Hello Doctor: I previously asked you about the small spots on my glans.
You mentioned that if there is no increase in size or number, it is likely not genital warts.
After more than 20 days, the size and number remain the same, so I wonder if they might be some type of benign skin condition.
I apologize for bothering you again; I just want to confirm.
Thank you, and I wish you good health.

Xiao Ming, 20~29 year old female. Ask Date: 2004/11/04

Dr. Pan Zhenqin reply Urology


Congratulations! You can also rest assured! The Urology Department of Tainan Hospital, Department of Health, wishes you health and safety!

Reply Date: 2004/11/04

More Info


Understanding penile skin conditions is crucial for maintaining sexual health and overall well-being. The skin on the penis can exhibit various conditions, some of which are benign while others may require medical attention. Based on your description, it seems you are concerned about small spots on the glans (the head of the penis) that have not changed in size or number over a period of 20 days.
Firstly, it’s important to clarify that the small spots you are observing could be normal anatomical variations, such as pearly penile papules, which are harmless and common among males. These are small, dome-shaped bumps that typically appear around the corona of the glans and are not associated with any disease. They usually do not require treatment unless they cause discomfort or psychological distress.

However, if the spots you are observing are not pearly penile papules, they could potentially be related to other conditions. For instance, conditions like Fordyce spots (small, painless, pale bumps) are also common and benign. On the other hand, if the spots were to change in appearance, become painful, or if you notice any additional symptoms such as itching, burning, or discharge, it would be prudent to seek medical evaluation.

In terms of sexually transmitted infections (STIs), such as genital warts (caused by the human papillomavirus, HPV), it is essential to monitor any changes. Genital warts typically appear as small, flesh-colored or gray growths and can vary in size. If the spots you are observing do not exhibit these characteristics and remain unchanged, it is less likely they are warts. However, if there is any doubt, consulting a urologist or dermatologist for a thorough examination would be advisable.

Regarding your concern about "特異姓皮膚" (which translates to "specific skin conditions"), it is important to understand that many skin conditions can appear similar. Conditions like eczema, psoriasis, or contact dermatitis can also affect the genital area, leading to irritation and changes in the skin's appearance. These conditions often come with additional symptoms like redness, scaling, or itching.

In conclusion, while the small spots you are observing may be benign, it is always best to err on the side of caution. If you have any lingering doubts or if there are any changes in the spots, it is advisable to consult with a healthcare professional who specializes in urology or dermatology. They can provide a definitive diagnosis and recommend appropriate treatment if necessary. Remember, maintaining good hygiene, avoiding irritants, and practicing safe sex are essential for penile health. Always feel free to reach out to your healthcare provider with any concerns regarding your skin or sexual health.

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