Penile Bumps: What You Need to Know About Your Symptoms - Urology

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It's understandable to feel concerned about any changes or abnormalities in your body, especially in sensitive areas like the genital region. Based on your description, it seems that you are experiencing some bumps or small, pimple-like lesions on the shaft of your penis, particularly around the base. Here’s a breakdown of what you might be experiencing and what steps you can take.


Possible Causes of Penile Bumps
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 are not a sign of any disease. They are often mistaken for warts or other lesions.

2. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection or irritation. It can result in small, red bumps that may resemble pimples.

3. Sebaceous Cysts: These are small lumps that can form under the skin and are filled with a substance called sebum. They are usually harmless and can sometimes be expressed, similar to what you described.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps. They can be flat or raised and may require medical treatment.

5. Other Skin Conditions: Conditions like eczema, psoriasis, or lichen planus can also cause bumps or changes in the skin texture.


When to Seek Medical Attention
While many bumps on the penis can be benign, it’s important to consult a healthcare professional if you experience any of the following:
- Changes in the appearance of the bumps (e.g., color change, bleeding, or ulceration).

- Pain, itching, or discomfort in the area.

- Any discharge from the bumps.

- If you have concerns about sexually transmitted infections (STIs).


Sexual Activity
Regarding your question about engaging in sexual activity, it is generally safe to have sex if the bumps are determined to be benign and not associated with any infectious process. However, if there is any uncertainty about the nature of the bumps, or if they are potentially contagious (like genital warts), it would be wise to avoid sexual contact until you have been evaluated by a healthcare provider.


Next Steps
1. Consult a Doctor: Schedule an appointment with a dermatologist or urologist who can examine the bumps. They may perform a physical examination and, if necessary, take a biopsy or swab to rule out infections or other conditions.

2. Avoid Self-Diagnosis: While it can be tempting to look up symptoms online, self-diagnosis can lead to unnecessary anxiety. A professional evaluation is the best way to understand your symptoms.

3. Maintain Hygiene: Continue to practice good hygiene, including regular washing and drying of the genital area, which can help prevent irritation or infection.

4. Monitor Changes: Keep an eye on the bumps for any changes in size, color, or sensation, and report these to your doctor.

In summary, while the bumps you describe may not be a cause for alarm, it is essential to have them evaluated by a healthcare professional to ensure proper diagnosis and peace of mind. Taking proactive steps about your health is always the best approach.