White Bumps on the Glans: Causes and Concerns

White spots on the glans?

Hello, Doctor: I have some small, slightly raised spots at the urethral opening on the glans that are the same color as the glans.
They are not painful, itchy, or discharging anything.
What could this be? Is it serious? Additionally, I have two rows of white, hill-like spots in the coronal sulcus.
Are these normal? If they are normal, is there any way to remove them? (My girlfriend finds them a bit off-putting during oral sex, and it affects the visual aspect.) These symptoms have been present for several years without any enlargement.
Am I sick? Thank you for your patient response.

Kuaer, 20~29 year old female. Ask Date: 2005/03/15

Dr. Liu Jianting reply Urology

Don't worry! That's pearly penile papules.
Is it disgusting? What if someone doesn't mind?

Reply Date: 2005/03/15

More Info

Understanding white bumps on the glans can be a source of concern for many individuals, especially when they appear to be unusual or different from the surrounding skin. Based on your description, it sounds like you are observing small, white, raised bumps on the glans of your penis, particularly near the urethral opening and along the corona.
Firstly, it is important to note that the appearance of white bumps on the glans can be attributed to several benign conditions. One common cause is pearly penile papules, which are small, dome-shaped, white or flesh-colored bumps that typically appear around the corona of the glans. These are completely normal anatomical variations and are not associated with any disease or infection. They are harmless and do not require treatment unless they cause discomfort or concern for cosmetic reasons.

Another possibility could be sebaceous cysts, which are small, painless lumps that can occur when sebaceous glands become blocked. These cysts are also benign and typically do not require intervention unless they become inflamed or infected.

If the bumps are not painful, itchy, or discharging any fluid, it is less likely that they are indicative of a sexually transmitted infection (STI) or another serious condition. However, it is always prudent to have any new or concerning changes in your genital area evaluated by a healthcare professional. They can provide a proper diagnosis and reassurance.

Regarding your concern about the appearance of these bumps during oral sex, it is understandable that you may feel self-conscious. If you are looking for ways to address the appearance of these bumps, it is essential to consult with a dermatologist or urologist. They can discuss potential treatment options, which may include laser therapy or other cosmetic procedures if you choose to pursue removal for aesthetic reasons.

It is also worth mentioning that maintaining good genital hygiene can help alleviate any concerns. Regular washing with mild soap and water can keep the area clean and may help reduce any potential odor. However, avoid using harsh soaps or chemicals that could irritate the sensitive skin of the genital area.

In conclusion, while the white bumps you describe are likely benign, it is always best to seek a professional evaluation to rule out any underlying issues and to receive personalized advice. Your health and peace of mind are paramount, and a healthcare provider can help you navigate any concerns you may have regarding your symptoms.

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