I have a question?
Hello, doctor.
I would like to ask about small white bumps that are protruding in a ring-like pattern under the glans.
What could this be, and does it have any implications?
A-Dai, 20~29 year old female. Ask Date: 2006/02/23
Dr. Xu Weikai reply Urology
Hello, I think it could be the pearly penile papules, which are a normal gland.
This is a response from Dr.
Hsu Wei-Kai, Director of Urology at Taitung Hospital, Department of Health, Executive Yuan.
Reply Date: 2006/02/23
More Info
Understanding white bumps under the glans, or the head of the penis, can be a source of concern for many individuals. These white bumps can manifest in various forms and may have different underlying causes. It’s essential to differentiate between benign conditions and those that may require medical attention.
One common cause of white bumps under the glans is Pearly Penile Papules. These are small, dome-shaped, white or flesh-colored bumps that typically appear in a ring around the corona of the glans. They are completely harmless and are considered a normal anatomical variation. Pearly penile papules are not associated with any disease and do not require treatment unless they cause psychological distress.
Another potential cause is Fordyce Spots, which are small, painless, pale bumps that can appear on the shaft of the penis or the scrotum. These spots are sebaceous glands that are not associated with hair follicles and are also benign. They are a normal part of the skin and do not indicate any health issues.
Balanitis is another condition that can cause white bumps or patches on the glans. This inflammation of the glans can result from poor hygiene, infections, or irritants. Symptoms may include redness, swelling, and discomfort. If balanitis is suspected, maintaining proper hygiene and possibly using topical treatments can help alleviate symptoms.
In some cases, sexually transmitted infections (STIs) such as herpes or human papillomavirus (HPV) can present with white bumps or lesions on the genital area. These conditions may be accompanied by other symptoms such as pain, itching, or discharge. If there is any suspicion of an STI, it is crucial to seek medical evaluation and appropriate testing.
Lichen Sclerosus is a less common but significant condition that can cause white patches or bumps on the glans. It is a chronic inflammatory skin condition that may lead to scarring and changes in the skin. If you notice persistent white bumps, especially if they are associated with pain or changes in the skin, it is advisable to consult a healthcare provider for a thorough examination.
In summary, while many white bumps under the glans are benign and do not require treatment, it is essential to monitor any changes in appearance, size, or associated symptoms. If you experience discomfort, pain, or any other concerning symptoms, it is best to consult a healthcare professional for an accurate diagnosis and appropriate management. Regular check-ups and open communication with your healthcare provider can help maintain sexual health and address any concerns you may have.
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