Bumps on the Penis: Causes and Concerns - Urology

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When it comes to bumps on the penis, particularly around the glans (the head of the penis), there are several potential causes that can range from benign to more serious conditions. Given that you mentioned these bumps have been present since childhood and you have not engaged in sexual activity, it is likely that these bumps are not a result of a sexually transmitted infection (STI) or other sexually related issues.
One common cause of such bumps is Pearly Penile Papules, which are small, harmless, dome-shaped bumps that typically appear around the corona (the ridge) of the glans. They are a normal anatomical variant and are not associated with any health risks or sexual dysfunction. Pearly penile papules are often mistaken for warts or other lesions, but they are completely benign and do not require treatment unless they cause psychological distress.

Another possibility is Fordyce Spots, which are small, painless, pale bumps that can appear on the shaft of the penis and are caused by enlarged sebaceous (oil) glands. Like pearly penile papules, Fordyce spots are harmless and do not indicate any health issues.

If the bumps are painful, itchy, or have changed in appearance, it could indicate a different condition such as genital warts, which are caused by the human papillomavirus (HPV), or herpes simplex virus, which can cause blister-like lesions. However, given your history of no sexual activity, these are less likely.

In some cases, folliculitis (inflammation of hair follicles) can cause bumps on the penis, especially if there has been any irritation or friction in that area. This condition is usually self-limiting and can be treated with good hygiene and topical treatments if necessary.

It's important to note that while many bumps are benign, any new, changing, or symptomatic lesions should be evaluated by a healthcare professional. If you have concerns about the appearance of these bumps or if they are accompanied by other symptoms such as pain, itching, or discharge, it would be wise to consult a dermatologist or urologist for a thorough examination. They can provide a definitive diagnosis and, if necessary, recommend appropriate treatment options.

In summary, while the bumps you describe are likely benign, it is always best to err on the side of caution and seek medical advice if you have any concerns. Regular self-examinations and awareness of any changes in your body are important for maintaining sexual health.