Unusual Growths on the Glans: Causes and Concerns - Urology

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Presence of lesions on the glans penis?


I have developed small, flesh-colored, slightly white bumps on my glans, approximately 2 or 3 in number.
They are not painful and do not itch under normal circumstances.
I don't think it's genital warts, but this condition has persisted for over 2 years and shows signs of enlargement.
I suspect it may be due to poor hygiene habits.
Could you please advise what conditions or diseases might be causing this?

Niming, 10~19 year old female. Ask Date: 2007/07/24

Dr. Lin Wenxu reply Urology


Hello, sir: Thank you for your inquiry.
I would like to respond to your question and provide the following advice: Based on your description, it appears to be a normal sebaceous cyst rather than a wart.
However, I still recommend that you visit the urology outpatient clinic in person for a physician's examination.

Reply Date: 2007/07/24

More Info


When it comes to unusual growths on the glans, such as the small, flesh-colored or whitish spots you've described, there are several potential causes to consider. It's important to approach this situation with a clear understanding of the possible conditions, their implications, and the appropriate steps to take.


Possible Causes
1. Pearly Penile Papules: These are small, benign growths that often appear around the corona of the glans. They are common and typically harmless, usually presenting as small, white or flesh-colored bumps. They do not cause pain or itching and are often mistaken for warts.

2. Fordyce Spots: These are small, painless, pale bumps that are actually sebaceous glands that are visible through the skin. They are completely normal and do not require treatment.

3. Genital Warts: Caused by the human papillomavirus (HPV), genital warts can appear as small, flesh-colored or gray growths. They can be itchy or uncomfortable, but not always. If these spots have been present for over two years without change, they are less likely to be warts, but it is still important to consult a healthcare provider for a definitive diagnosis.

4. Lichen Planus: This is an inflammatory condition that can affect the skin and mucous membranes, including the genital area. It can cause white patches or spots and may be associated with discomfort or itching.

5. Molluscum Contagiosum: This is a viral infection that results in small, raised, pearly bumps on the skin. They can be itchy and may spread through skin-to-skin contact.

6. Other Skin Conditions: Conditions such as eczema or psoriasis can also manifest in the genital area, leading to changes in skin texture and appearance.


Hygiene and Care
You mentioned concerns about hygiene habits potentially contributing to these growths. While poor hygiene can lead to various skin issues, the specific growths you've described are more likely related to benign conditions rather than hygiene alone. However, maintaining good hygiene is crucial for overall genital health. Here are some tips:
- Regular Cleaning: Gently wash the area with mild soap and water daily. Avoid harsh soaps or irritants that can cause inflammation.

- Drying: Ensure the area is thoroughly dried after washing, as moisture can lead to irritation or infections.

- Avoid Irritants: Be cautious with products that may irritate the skin, such as scented soaps, lotions, or lubricants.


When to Seek Medical Attention
Given that these growths have persisted for over two years without significant change, it is advisable to consult a healthcare provider or a dermatologist. They can perform a physical examination and may recommend a biopsy if there's any concern about the nature of the growths. Here are some signs that warrant immediate medical attention:
- Changes in size, color, or shape of the growths.

- Development of pain, itching, or discomfort.

- Any new symptoms, such as discharge or bleeding.


Conclusion
While the growths you've described are likely benign, it is essential to have them evaluated by a healthcare professional for an accurate diagnosis and peace of mind. Early intervention can help address any potential issues and ensure that you maintain optimal genital health. Remember, open communication with your healthcare provider about any concerns is key to receiving appropriate care.

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