Painful Bumps on the Penis: Causes and Treatments - Urology

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When it comes to painful bumps on the penis, particularly on the glans (the head of the penis), there are several potential causes that should be considered. The description you provided—of a bump that resembles an acne pimple, is painful to touch, and possibly has pus—suggests a few possible conditions.

1. Pearly Penile Papules: These are small, harmless bumps that can appear around the glans. They are typically painless and do not contain pus. However, they are often mistaken for other conditions due to their appearance.

2. Folliculitis: This is an inflammation of the hair follicles, which can occur anywhere on the body, including the genital area. It can present as red, painful bumps that may contain pus. Folliculitis is often caused by bacterial infections, irritation, or ingrown hairs.

3. Pearly Penile Papules: These are small, harmless bumps that can appear around the glans. They are typically painless and do not contain pus. However, they are often mistaken for other conditions due to their appearance.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps. They can be painful and may have a cauliflower-like appearance. If you have had unprotected sexual contact, this is a possibility to consider.

5. Herpes Simplex Virus (HSV): This sexually transmitted infection can cause painful blisters or sores on the genital area. If the bump is accompanied by other symptoms like itching, burning, or flu-like symptoms, this could be a possibility.

6. Abscess: If the bump is painful and filled with pus, it could be an abscess, which is a localized infection that results in a collection of pus. This would require medical evaluation and possibly drainage.

7. Other Infections: Other sexually transmitted infections (STIs) can also present with bumps or lesions on the genital area. Conditions such as syphilis or chancroid can cause painful sores.

Given your symptoms, it is crucial to seek medical attention. A healthcare provider can perform a physical examination, take a detailed history, and possibly conduct tests to determine the exact cause of the bump. They may recommend treatments based on the diagnosis, which could include antibiotics for bacterial infections, antiviral medications for herpes, or other specific treatments for STIs.

In the meantime, avoid touching or squeezing the bump, as this can worsen the infection or spread it. It’s also advisable to refrain from sexual activity until you have been evaluated by a healthcare professional to prevent potential transmission of any infectious agents.

In conclusion, while there are several potential causes for the painful bump on your glans, a proper diagnosis from a healthcare provider is essential for effective treatment. Don't hesitate to reach out to a urologist or a primary care physician for further evaluation. Your health and well-being are paramount, and timely intervention can lead to better outcomes.