White Bumps on the Glans: When to See a Urologist - Urology

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Glans issues


Doctor: Hello, I would like to ask about something.
Recently, while showering, I pulled back my foreskin and suddenly felt an unusual pain.
After carefully examining the cause of the pain, I found some white spots on the edge of the glans that resemble "pimples." They really look like pimples, so I tried to pull them off with my fingers, but it hurt.
After observing for a while, I noticed similar white, pimple-like spots in another area as well.
I'm not sure what they are.
They don't usually hurt or itch, but when I pull back the foreskin to clean during a shower, I feel pain.
I want to know if this could be a sexually transmitted infection? Do I need to see a doctor immediately? Should I see a urologist? If I go to a urologist, do I need to retract the glans? It's quite embarrassing! ><"

Xiao Zhi, 20~29 year old female. Ask Date: 2005/08/07

Dr. Liu Jianting reply Urology


It is likely benign papillary hyperplasia; consider consulting a urologist.

Reply Date: 2005/08/07

More Info


When it comes to the appearance of white bumps or spots on the glans (the head of the penis), it's important to approach the situation with caution and awareness. The presence of these white bumps can be concerning, especially if they are accompanied by pain or discomfort. However, it is also essential to understand that not all white bumps are indicative of a sexually transmitted infection (STI) or other serious medical conditions.

Firstly, the white bumps you are describing could be a number of things. One common cause is the presence of pearly penile papules, which are small, benign growths that typically appear around the corona of the glans. These are normal anatomical variations and are not harmful. They do not require treatment unless they cause discomfort or anxiety.

Another possibility is the presence of sebaceous cysts, which are small, non-cancerous lumps filled with sebum (an oily substance produced by the skin). These cysts can appear anywhere on the body, including the genital area, and are generally harmless. They may become painful if they become inflamed or infected.

However, if the white bumps are painful, itchy, or associated with other symptoms such as discharge, it could indicate an infection or another condition that requires medical attention. Conditions such as balanitis (inflammation of the glans), genital warts (caused by the human papillomavirus), or herpes simplex virus can present with similar symptoms. Therefore, it is crucial to monitor any changes in the appearance of these bumps and any accompanying symptoms.

Given your description of pain when cleaning the area, it is advisable to consult a urologist. They are specialists in male reproductive health and can provide a thorough examination. During the visit, it is important to be open and honest about your symptoms and concerns. While it may feel embarrassing to discuss issues related to genital health, healthcare professionals are trained to handle such situations with sensitivity and confidentiality.

When you see the urologist, they may perform a physical examination, which could include inspecting the glans and surrounding areas. You may be asked to retract the foreskin if you are uncircumcised, as this allows for a better view of the area in question. The doctor may also ask about your medical history, any recent sexual activity, and whether you have experienced any other symptoms.

In summary, while the presence of white bumps on the glans can be benign, it is essential to seek medical advice, especially if there is pain or discomfort involved. A urologist will be able to provide a proper diagnosis and recommend appropriate treatment if necessary. Remember, taking care of your sexual health is important, and seeking help is a responsible step towards ensuring your well-being.

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