White Bumps on the Foreskin: Causes and Concerns - Urology

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When it comes to the appearance of white bumps on the foreskin, there are several potential causes that should be considered. The symptoms you describe—white bumps that can be squeezed, causing bleeding and pain—are concerning and warrant a thorough examination by a healthcare professional, preferably a urologist or dermatologist.

One common cause of white bumps on the foreskin is pearls of Fordyce, which are small, painless, pale bumps that are actually sebaceous glands. They are a normal anatomical variation and do not require treatment. However, if the bumps are painful, bleed, or change in appearance, this could indicate a different issue.

Another possibility is pearly penile papules, which are small, benign growths that typically appear around the corona of the glans penis. These are also harmless and do not require treatment. However, if you are experiencing pain and bleeding, it is essential to rule out other conditions.

Balanitis is another condition that could cause white bumps or lesions on the foreskin. This inflammation of the glans and foreskin can result from infections (such as yeast infections or bacterial infections), poor hygiene, or skin conditions like eczema or psoriasis. Symptoms often include redness, swelling, and discomfort, and treatment typically involves good hygiene practices, topical antifungal or steroid creams, or antibiotics if an infection is present.

Genital warts, caused by the human papillomavirus (HPV), can also appear as white or flesh-colored bumps on the genital area. These may be raised or flat and can sometimes bleed if irritated. If you suspect this, it is crucial to consult a healthcare provider for diagnosis and potential treatment options.

In some cases, folliculitis, which is the inflammation of hair follicles, can lead to the formation of white bumps that may be painful and can bleed if squeezed. This condition can be caused by bacterial infections, irritation, or ingrown hairs.

Given that you mentioned the bumps are increasing in number and causing pain, it is crucial to seek medical attention. A healthcare provider can perform a physical examination, possibly conduct tests, and provide a definitive diagnosis. They may also recommend treatments based on the underlying cause, which could include topical medications, lifestyle changes, or other interventions.

In summary, while some white bumps on the foreskin can be benign, the presence of pain, bleeding, and an increase in the number of bumps is concerning. It is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and ensure better health outcomes.