Painful Bumps on the Penis: Causes and Concerns - Urology

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Pearly penile papules?


Hello doctor, I have noticed a small bump that is about 0.5 cm in diameter, located slightly above the center on the left side of my penis.
It is flesh-colored and painful to the touch, similar to the pain of a pimple.
I am unsure why this is happening, as I have never experienced anything like this before and I have no sexual experience, so I am a bit anxious.

wei shen me, 20~29 year old female. Ask Date: 2005/11/19

Dr. Xu Weikai reply Urology


Hello, based on your description, it seems to be acne or a subcutaneous infection.
I recommend applying a warm compress locally for a few days, and once it matures, it will naturally rupture.
At that time, you can apply some ointment.
If you are still concerned, it is best to seek medical attention for peace of mind.

Director of Urology, Taitung Hospital, Department of Health and Welfare, Executive Yuan, Dr.
Hsu Wei-Kai.

Reply Date: 2005/11/19

More Info


When it comes to painful bumps on the penis, there are several potential causes that can lead to such symptoms. It's important to approach this issue with care and understanding, as it can be a source of anxiety for many individuals.
Firstly, the bump you described, located on the upper left side of the shaft of the penis, could be a number of things. One common possibility is a sebaceous cyst, which is a small, non-cancerous bump that can occur when a hair follicle becomes blocked. These cysts are typically flesh-colored and can be tender to the touch. Another possibility is a condition known as pearly penile papules, which are small, harmless bumps that can appear around the glans of the penis and are often mistaken for something more serious.
However, given that you mentioned the bump is painful, it could also be indicative of an infection or inflammation. For instance, a condition called folliculitis, which is the inflammation of hair follicles, can lead to painful bumps. Additionally, sexually transmitted infections (STIs) such as herpes or warts can also present as painful lesions on the genital area, although you mentioned that you have no sexual experience, which may reduce the likelihood of STIs.

It's also worth considering the possibility of a dermatological condition, such as a skin infection or an allergic reaction to a product that may have come into contact with the area, such as soaps, lotions, or even laundry detergents.
Given your concerns and the fact that this is a new development, it is advisable to seek medical attention. A healthcare provider can perform a physical examination and may recommend tests to determine the exact cause of the bump. They may also provide treatment options based on the diagnosis, which could range from topical medications to more specific treatments if an infection or other condition is identified.

In the meantime, it is important to avoid any irritation to the area. This means wearing loose-fitting underwear and avoiding any harsh soaps or products that could exacerbate the condition. Refraining from any sexual activity until you have a clearer understanding of what the bump is can also be a wise decision to prevent any potential complications.

In summary, while there are several benign explanations for the painful bump you are experiencing, it is crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help alleviate discomfort and address any underlying issues effectively. Remember, it’s always better to err on the side of caution when it comes to your health, especially in sensitive areas.

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