Red Bump on Penis: Causes, Treatment, and When to See a Doctor - Urology

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When it comes to a red bump on the penis that resembles a pimple and is painful when pressed, it is important to approach the situation with caution. There are several potential causes for such a bump, including but not limited to folliculitis, a cyst, a sexually transmitted infection (STI), or even a benign growth such as a pearly penile papule.
1. Possible Causes:
- Folliculitis: This is an inflammation of the hair follicles, often caused by bacteria or irritation. It can present as red, swollen bumps that may be painful.

- Cysts: Sebaceous cysts can form when oil glands become blocked. These are usually painless but can become inflamed or infected.

- STIs: Certain sexually transmitted infections, such as herpes or genital warts, can cause bumps or sores on the genital area. These may be accompanied by other symptoms such as itching, burning, or discharge.

- Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the penis. They are not painful and do not require treatment.

2. Treatment Options:
- Observation: If the bump is not causing significant discomfort and there are no other concerning symptoms (such as fever, discharge, or widespread rash), it may be reasonable to monitor the bump for a few days. Many minor skin irritations resolve on their own.

- Topical Treatments: If the bump is painful or shows signs of infection (like increased redness, warmth, or pus), applying a topical antibiotic ointment may help. Over-the-counter options like Neosporin can be effective.

- Avoid Irritation: It’s important to avoid any irritants, such as harsh soaps or lotions, and to wear loose-fitting underwear to reduce friction.

3. When to See a Doctor:
- If the bump does not improve within a week or worsens, it is advisable to seek medical attention.
- If you experience additional symptoms such as fever, chills, or unusual discharge, you should see a healthcare provider promptly.

- If you have concerns about STIs or if you are sexually active and have had unprotected sex, it is essential to get tested.

4. Conclusion:
While some bumps on the penis can be benign and resolve on their own, it is crucial to pay attention to the symptoms and seek medical advice if there are any concerns. A healthcare provider can offer a proper diagnosis and treatment plan tailored to your specific situation. Remember, it is always better to err on the side of caution when it comes to changes in your genital area.