Yellow Bumps on the Foreskin: Causes and Treatments

There are small yellowish bumps on the foreskin?

Hello Doctor: I have noticed several small, pale yellow bumps near the glans on my foreskin, which vary in size.
When I first discovered them, I tried to squeeze them, and some released a yellow substance, similar to dirt from a pimple.
Now they are all small, pale yellow bumps.
Previously, I asked you about the small yellow bumps on my foreskin.
Yesterday, I visited a dermatology clinic, and the doctor initially said it looked like "warts." After a few minutes, he suggested it might be benign connective tissue, advising me to "observe," "not to squeeze," and that if it truly is warts, I could return for cryotherapy, which he mentioned would be quite painful.
Here are my observations: (I) In the morning, right after waking up, they seem smaller and are less noticeable.
Before showering at night, they appear slightly larger, and after washing, they are more pronounced, with one or two disappearing and leaving a small indentation.
(II) There seems to be a slight increase in number; the smaller ones are less than 1mm and appear white, while the larger ones look yellow.
(III) Occasionally, I can squeeze out a white substance.
I would like to ask the doctor two questions: (I) Is there a quick way to determine if these are warts, such as a testing method? Are warts very itchy? Over the past three weeks, aside from a slight increase, they haven't changed much.
(II) Since I am scheduled to enlist in the military on October 15, I was wondering if I should just remove or treat them directly.
If I buy "Leda Mei" to apply, will it clear up in two weeks? Or are there other quicker methods? Thank you!

Niming, 20~29 year old female. Ask Date: 2007/09/27

Dr. Liu Jianting reply Urology

Don't worry! That's not how it is with cauliflower! If you don't believe it, you can consult another urologist.

Reply Date: 2007/09/27

More Info

Understanding the presence of yellow bumps on the foreskin can be concerning, especially when they resemble conditions like warts (commonly referred to as "菜花" in Chinese). Based on your description, it seems you are experiencing small, yellowish bumps that can sometimes be expressed, resembling whiteheads or pimples. Here’s a comprehensive overview of potential causes, diagnostic methods, and treatment options.

Possible Causes
1. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans (the head of the penis). They are normal anatomical variations and do not require treatment.

2. Sebaceous Cysts: These are small, non-cancerous lumps that can occur when sebaceous glands become blocked. They can sometimes be expressed, releasing a yellowish or white substance.

3. Fordyce Spots: These are small, painless, pale bumps that are actually enlarged oil glands. They are completely normal and do not require treatment.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or yellowish bumps. They may be itchy or uncomfortable and can spread through sexual contact.

5. Other Infections: Conditions such as folliculitis or other skin infections can also cause bumps that may be yellowish in appearance.

Diagnostic Methods
To determine whether the bumps are indeed genital warts or another condition, consider the following steps:
1. Physical Examination: A healthcare provider can perform a thorough examination of the bumps. They will look for specific characteristics that differentiate warts from other types of bumps.

2. Biopsy: In some cases, a small sample of tissue may be taken from the bump for laboratory analysis to confirm the diagnosis.

3. HPV Testing: If genital warts are suspected, your doctor may recommend testing for HPV, especially if you have multiple lesions.

Symptoms of Genital Warts
Genital warts can sometimes be itchy or uncomfortable, but they are not always symptomatic. If the bumps you are experiencing are not causing any discomfort or itching, it may suggest they are not warts. However, the presence of new bumps or changes in size or number should be evaluated by a healthcare professional.

Treatment Options
1. Observation: If the bumps are determined to be benign (like pearly penile papules or Fordyce spots), no treatment is necessary. Regular monitoring is often sufficient.

2. Topical Treatments: If genital warts are confirmed, treatments such as topical medications (e.g., imiquimod or podofilox) may be prescribed. These can help in reducing the size and number of warts.

3. Cryotherapy: This involves freezing the warts with liquid nitrogen, which can be effective but may cause discomfort.

4. Laser Therapy: For larger or persistent warts, laser treatment may be an option.

5. Surgical Removal: In some cases, warts can be surgically excised.

Recommendations
Given your upcoming military service, it is advisable to seek treatment as soon as possible. While over-the-counter treatments like "樂得美" (likely referring to a topical treatment) may provide some relief, they are not guaranteed to resolve the issue, especially if the bumps are warts. It’s best to consult with a healthcare provider who can offer a definitive diagnosis and appropriate treatment plan.

In conclusion, while the presence of yellow bumps on the foreskin can be alarming, many causes are benign. It’s crucial to have a healthcare professional evaluate the condition to determine the appropriate course of action. Avoid squeezing or attempting to remove the bumps yourself, as this can lead to irritation or infection.

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