Bumps on the Penis: Causes and When to Seek Help - Urology

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If you have developed several bumps on the penis that resemble acne, they could be a variety of conditions. Common possibilities include pearly penile papules, which are harmless and often mistaken for acne, or folliculitis, which is an inflammation of the hair follicles. However, it is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment?


Hello, doctor! Two weeks ago, I noticed a bump at the base of my penis that resembles an acne lesion.
It became pus-filled, burst, and formed a scab.
Recently, I have noticed 2 to 3 more similar bumps, but this time they haven't become pus-filled.
Could this be genital warts or dermatitis? Which specialist should I see?

Xiao Chen, 30~39 year old female. Ask Date: 2007/01/05

Dr. Xu Weikai reply Urology


Xiao Chen: Hello, it seems that the sebaceous glands are blocked, leading to an infection, similar to acne or cystic lesions.
You can enhance local cleanliness, which should help improve the condition; additionally, avoid fried and greasy foods.
You can consult a dermatologist or a urologist, both should be able to assist you.
This is a response from Dr.
Hsu Wei-Kai, Head of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2007/01/05

More Info


When it comes to bumps on the penis, it's important to understand that there are various potential causes, and distinguishing between them is crucial for appropriate treatment. The bumps you describe, which resemble acne and have characteristics such as pus and crusting, could be indicative of several conditions, including folliculitis, genital warts (cauliflower-like growths), or other dermatological issues.

Folliculitis is an inflammation of the hair follicles, which can occur anywhere on the body, including the genital area. It often presents as small red or white bumps that can become pus-filled and may crust over. This condition is typically caused by bacterial infection, irritation, or blockage of the hair follicles. Treatment usually involves good hygiene, topical antibiotics, and sometimes oral antibiotics if the infection is severe.

Genital warts, caused by the human papillomavirus (HPV), can also appear as bumps on the penis. They may have a cauliflower-like appearance and can be flesh-colored or darker. Unlike folliculitis, genital warts are a sexually transmitted infection (STI) and require specific treatments, such as topical medications, cryotherapy, or surgical removal.

Other possibilities include pearly penile papules, which are harmless and common, or skin conditions like eczema or psoriasis that can also cause bumps or lesions in the genital area.
Given your symptoms, it is advisable to seek help from a healthcare professional. You should consider visiting a dermatologist, who specializes in skin conditions, including those affecting the genital area. They can provide a thorough examination, possibly perform tests, and offer a definitive diagnosis and treatment plan.

In summary, while the bumps you are experiencing could be due to a variety of causes, it is essential to consult a healthcare provider for an accurate diagnosis. Early intervention can help prevent complications and ensure effective treatment. Remember to avoid self-diagnosing or treating the condition without professional guidance, as this could lead to worsening symptoms or mismanagement of the underlying issue.

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