White Bumps on the Penis: What They Are and When to See a Doctor - Urology

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I have developed unclear spots on the skin of my penis?


I have noticed white spots appearing under my penis and on the underside of the foreskin.
The glans is unaffected.
These spots can be squeezed to release a white substance similar to what is found in small pimples.
They are not itchy or painful.
This condition has persisted for quite a while, and I have ignored it until recently when I noticed it slowly spreading.
What could this be? Should I see a doctor?

Xiao An, 10~19 year old female. Ask Date: 2006/11/12

Dr. Xu Weikai reply Urology


Hello, it is likely caused by a sebaceous cyst or sebaceous gland inflammation.
Strengthening local hygiene practices should lead to improvement.
If necessary, you can see a physician who may prescribe some ointments for better results.
Response from Dr.
Hsu Wei-kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2006/11/12

More Info


The appearance of white bumps on the penis, particularly under the foreskin, can be concerning for many individuals. Based on the description provided, these bumps resemble small pimples that can be squeezed to release a white substance, and they are not associated with pain or itching. While it is understandable to feel anxious about such changes, it is important to approach this situation with a clear understanding of potential causes and when to seek medical advice.

One common explanation for white bumps in the genital area is the presence of pearly penile papules, which are small, harmless growths that typically appear around the corona of the glans (the head of the penis). These are normal anatomical variations and are not associated with any disease or infection. They are often mistaken for sexually transmitted infections (STIs) due to their appearance, but they are benign and do not require treatment.

Another possibility is the presence of sebaceous cysts, which can occur when sebaceous glands become blocked. These cysts can appear as small, white bumps and may contain a thick, white substance. They are generally harmless and do not require intervention unless they become infected or bothersome.

However, if the bumps are new, changing in appearance, or if you notice any additional symptoms such as redness, swelling, or discharge, it is advisable to consult a healthcare professional. Conditions such as folliculitis, which is an inflammation of the hair follicles, or sexually transmitted infections like genital warts or herpes, could present with similar symptoms. Therefore, a proper diagnosis is essential.

When considering whether to see a doctor, it is important to evaluate the following factors:
1. Duration and Change: If the bumps have been present for a long time without change, they may be less concerning. However, if they are new or have changed in size, shape, or color, this warrants a medical evaluation.

2. Associated Symptoms: The absence of pain or itching is a positive sign, but if you start experiencing discomfort, discharge, or any other unusual symptoms, it is crucial to seek medical attention.

3. Personal Health History: If you have a history of STIs or other skin conditions, or if you are sexually active with multiple partners, it is prudent to get checked regularly.

4. Peace of Mind: If you are feeling anxious or uncertain about the condition, it is always better to consult a healthcare provider. They can provide reassurance and appropriate management options.

In summary, while the white bumps you are experiencing may be benign, it is essential to monitor their appearance and any associated symptoms. If there is any doubt or concern, visiting a urologist or dermatologist for a thorough examination is recommended. They can provide a definitive diagnosis and discuss any necessary treatment options. Remember, taking care of your sexual health is important, and seeking medical advice is a proactive step in maintaining overall well-being.

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