Small Growths Below the Urethra: Causes and Concerns - Urology

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Small fleshy growths below the glans urethral opening?


Hello Dr.
Hsu, I recently noticed a small growth that looks like a tiny wart or blister located just below the urethral opening of the glans.
It is neither painful nor itchy, but I am quite worried that it might be genital warts.
I am 27 years old and have a steady partner, and I haven't been with anyone else, so I believe I shouldn't have a high risk of contracting any diseases.
If it is not genital warts, what could this small growth be caused by? Is surgical removal necessary? Additionally, could you recommend a hospital or physician near Zhongyonghe in New Taipei City? Thank you, Zheng R.

Zheng r, 20~29 year old female. Ask Date: 2007/11/25

Dr. Xu Weikai reply Urology


Zheng: Hello, typical cauliflower warts are dark brown and usually appear in clusters, often increasing in number, and they rarely resemble blisters.
Cauliflower warts are not exclusively transmitted through sexual contact; public items like computer mice in internet cafes can also pose a risk of infection.
Your condition could potentially be herpes or another type of infection, so it would be advisable to seek medical attention.
If there are any unclear points, feel free to ask again, and we can further discuss and research the matter.
Sincerely, Dr.
Hsu Wei-Kai, Department of Urology, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2007/11/25

More Info


Hello 鄭R,
Thank you for reaching out with your concerns regarding the small growth you’ve noticed below the urethra. It’s understandable to feel anxious about any new growths, especially in sensitive areas. Let’s break down the potential causes and considerations regarding this issue.

The small growth you describe could be a variety of things. Common benign conditions that might present as small lumps or bumps in the genital area include:
1. Pearly Penile Papules: These are small, harmless bumps that typically appear around the glans of the penis. They are normal anatomical variations and are not associated with any disease.

2. Sebaceous Cysts: These are small, non-painful lumps that can occur when sebaceous glands become blocked. They are usually harmless and can be left alone unless they become infected or bothersome.

3. Genital Warts (Condyloma Acuminata): Caused by certain strains of the human papillomavirus (HPV), these can appear as small, flesh-colored or gray growths. While you mentioned having a stable partner and not engaging in outside sexual activities, it’s important to note that HPV can be transmitted even with protected sex or from skin-to-skin contact.

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

5. Other Conditions: There are other possibilities, such as molluscum contagiosum (a viral infection that causes small, painless bumps) or even a benign tumor.
Given that the growth is not painful or itchy, it may be less likely to be something serious, but it’s still essential to have it evaluated by a healthcare professional. A dermatologist or urologist would be well-suited to assess the growth and provide a definitive diagnosis. They may recommend a biopsy if there’s any concern about the nature of the growth.

As for treatment, if the growth is determined to be benign and not causing any symptoms, surgical removal may not be necessary. However, if it is bothersome or if there’s any uncertainty about its nature, removal could be considered.

Regarding your request for recommendations for healthcare providers in the Zhongyonghe area of New Taipei City, I suggest looking for local urologists or dermatologists who specialize in genital skin conditions. You can check online reviews or consult with your primary care physician for referrals.
In conclusion, while it’s good to be cautious and proactive about your health, many small growths in the genital area are benign. However, a professional evaluation is the best way to ensure peace of mind and appropriate care.
Take care, and I hope you find the answers you need soon!

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