Small White Bumps on the Penis: Causes and Treatments - Urology

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The presence of small white bumps on the penis can be concerning, but it is essential to understand that there are various benign conditions that could cause these symptoms. Based on your description, it seems that you may be dealing with a condition known as sebaceous cysts or epidermoid cysts, which are common and typically harmless.

Sebaceous cysts are small, non-cancerous lumps that can form under the skin. They are often filled with a substance called sebum, which is produced by sebaceous glands. These cysts can appear anywhere on the body, including the genital area. They are usually painless, movable, and may have a white or yellowish appearance. In some cases, they can become inflamed or infected, leading to redness, swelling, and discomfort.

Another possibility is pearly penile papules, which are small, harmless bumps that can appear around the corona of the glans (the head of the penis). These are normal anatomical variations and do not require treatment unless they cause psychological distress.

If the bumps you are experiencing can be squeezed to expel a white substance, this further supports the idea of sebaceous cysts. It is important to note that while these cysts are generally harmless, they can become infected, leading to more significant issues. Signs of infection include increased redness, warmth, swelling, and pain in the area, as well as the presence of pus.

In terms of treatment, if the bumps are not causing any discomfort or cosmetic concerns, they may not require any intervention. However, if you are experiencing any changes in the bumps, such as increased size, pain, or signs of infection, it is advisable to seek medical attention. A healthcare provider can perform a physical examination and may recommend treatments such as:
1. Observation: If the bumps are asymptomatic and not bothersome, simply monitoring them may be sufficient.

2. Topical Treatments: In some cases, a topical antibiotic or anti-inflammatory cream may be prescribed to reduce inflammation or prevent infection.

3. Surgical Removal: If the cysts become bothersome, infected, or if there is uncertainty about the diagnosis, a healthcare provider may recommend surgical excision. This procedure is typically straightforward and can be done in an outpatient setting.

4. Drainage: If a cyst becomes infected and forms an abscess, it may need to be drained. This procedure can relieve pressure and promote healing.

It is crucial to avoid self-diagnosing or attempting to squeeze or pop the bumps, as this can lead to infection or scarring. Maintaining good hygiene and avoiding irritants in the genital area can also help prevent complications.

In conclusion, while small white bumps on the penis can be concerning, they are often benign conditions such as sebaceous cysts or pearly penile papules. If you have had these bumps for several years without any changes, they are likely not a cause for alarm. However, if you notice any changes or have concerns, it is always best to consult with a healthcare professional for an accurate diagnosis and appropriate management.