Granular Bumps on the Glans: What You Need to Know - Urology

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Issues with the glans penis?


Why do I have many small, granular flesh-like bumps on my glans that are not easily noticeable unless looked at closely? They don't cause any sensation, but they make me feel uneasy.
Is the glans supposed to be smooth?

D, 10~19 year old female. Ask Date: 2006/08/19

Dr. Chen Xiuyi reply Urology


Hello: Based on your description, if the small granulation tissue is located at the coronal sulcus, the most likely cause is a pearly penile papule, which is benign.
It can be monitored, but if it enlarges, medical attention is necessary.
Sincerely, Dr.
Chen Hsiu-Yi, Urologist.

Reply Date: 2006/08/19

More Info


Granular bumps on the glans, or the head of the penis, can be a source of concern for many individuals, especially if they appear suddenly or are accompanied by other symptoms. It’s important to understand that the glans is not always completely smooth; it can have various textures and appearances due to normal anatomical variations, skin conditions, or other factors.


Understanding Granular Bumps
1. Normal Anatomy: The glans penis is covered by a layer of skin that can sometimes have small bumps or granular textures. These can be sebaceous glands, which are normal and produce oil to keep the skin moisturized.
2. Pearly Penile Papules: One common benign condition that can cause small, painless bumps on the glans is pearly penile papules. These are small, dome-shaped bumps that are usually located around the corona of the glans and are completely normal anatomical variations. They are not harmful and do not require treatment.

3. Fordyce Spots: These are small, painless, pale bumps that can appear on the glans and shaft of the penis. They are enlarged sebaceous glands and are also considered a normal variant. They do not indicate any disease and are harmless.

4. Other Conditions: While many bumps are benign, some conditions may require further evaluation. For instance, conditions like genital warts (caused by human papillomavirus), molluscum contagiosum, or other dermatological issues can also present as bumps on the glans. If the bumps change in appearance, become painful, or are accompanied by other symptoms such as itching, discharge, or bleeding, it is important to seek medical advice.


When to Seek Medical Attention
If you notice any of the following, it’s advisable to consult a healthcare professional:
- Changes in Appearance: If the bumps change in size, color, or texture.

- Pain or Discomfort: If you experience pain, itching, or discomfort in the area.

- Discharge: If there is any unusual discharge from the penis.

- Accompanying Symptoms: If you have other symptoms such as fever, swelling, or systemic symptoms.


Diagnosis and Treatment
A healthcare provider may perform a physical examination and, if necessary, order tests to determine the nature of the bumps. Treatment will depend on the diagnosis:
- Benign Conditions: If the bumps are determined to be benign (like pearly penile papules or Fordyce spots), no treatment is necessary.

- Infectious Conditions: If an infection is suspected, appropriate antiviral or antifungal medications may be prescribed.

- Warts or Other Growths: If warts or other growths are diagnosed, treatments may include topical medications, cryotherapy, or other procedures.


Conclusion
In summary, granular bumps on the glans can be a normal anatomical variation, but it’s essential to monitor any changes and consult a healthcare professional if you have concerns. Regular self-examination and awareness of your body can help you identify any changes early, ensuring timely medical intervention if necessary. Remember, maintaining good hygiene and practicing safe sex are also important for overall genital health. If you have any further questions or concerns, don’t hesitate to reach out to a healthcare provider for personalized advice.

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