Bumps Under the Penis: Causes and Health Implications - Urology

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Understanding bumps under the penis can be concerning, especially when they have been present for a long time without causing discomfort. The bumps you describe, located on the skin between the penis and the scrotum, could be caused by several benign conditions, but it’s essential to consider various possibilities.

1. Pearly Penile Papules: These are small, dome-shaped bumps that typically appear around the corona of the glans (the head of the penis). They are completely normal and harmless, often mistaken for sexually transmitted infections. They do not affect sexual function or overall health.

2. Sebaceous Cysts: These are small, painless lumps that can occur anywhere on the body, including the genital area. They are caused by blocked sebaceous glands and are filled with a fatty substance. They are generally harmless and do not require treatment unless they become infected or bothersome.

3. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection or irritation. It can lead to small red bumps or pustules. If the bumps are itchy or painful, this could be a possibility, and treatment may involve topical antibiotics or antifungal medications.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps. They can be flat or raised and may be itchy. If you suspect this, it’s crucial to consult a healthcare provider for diagnosis and potential treatment.

5. Lichen Planus: This is an inflammatory condition that can affect the skin and mucous membranes, leading to flat-topped bumps. It can be itchy and may require treatment with topical steroids or other medications.

6. Other Skin Conditions: Conditions such as eczema or psoriasis can also manifest as bumps or patches on the skin, including the genital area. These may require specific treatments based on the underlying cause.

Regarding your concern about whether these bumps could affect your sexual ability or overall health, most benign conditions, such as pearly penile papules or sebaceous cysts, do not impact sexual function. However, if the bumps are associated with an infection or a sexually transmitted disease, it’s essential to seek medical advice. Infections can lead to complications if left untreated, including pain, discomfort, or more severe health issues.

If the bumps change in appearance, become painful, or if you experience other symptoms such as itching, discharge, or changes in urination, it is advisable to consult a healthcare provider. They can perform a physical examination and may recommend tests to determine the exact cause of the bumps. Early diagnosis and treatment can help alleviate concerns and prevent potential complications.

In summary, while many bumps under the penis can be harmless, it’s crucial to monitor any changes and consult a healthcare professional if you have concerns. They can provide a proper diagnosis and peace of mind regarding your sexual health and overall well-being.