White Bumps on the Glans: When to Seek Medical Advice - Urology

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The presence of white bumps on the glans, particularly if they resemble small pimples and have been present for a long time without causing pain or discomfort, can often be attributed to a benign condition known as pearly penile papules. These are small, dome-shaped, white or flesh-colored bumps that typically occur around the corona of the glans and are considered a normal anatomical variation. They are not infectious, do not require treatment, and are not a sign of any underlying disease.

However, it is important to differentiate these from other potential conditions that may present similarly. For instance, conditions such as Fordyce spots (small, painless, pale bumps that are sebaceous glands), or sexually transmitted infections (STIs) like genital warts or molluscum contagiosum, can also appear as bumps on the genital area. If the bumps change in appearance, become painful, or if you notice any other symptoms such as discharge, itching, or swelling, it would be prudent to seek medical advice.

In your case, since these bumps have been present since your teenage years and have not caused any discomfort, they are likely benign. However, if you have any concerns or if there are changes in the appearance of these bumps, it is advisable to consult a healthcare professional.
When deciding whether to see a dermatologist or a urologist, consider the following:
1. Dermatologist: If you are primarily concerned about the appearance of the bumps and want to ensure they are not related to a skin condition, a dermatologist would be appropriate. They specialize in skin conditions and can provide a thorough examination and diagnosis.

2. Urologist: If you have concerns that may relate to urinary function or if you experience any symptoms affecting urination or sexual function, a urologist would be the better choice. They specialize in male reproductive health and can address any concerns related to the genital area.

In summary, while the white bumps you describe are likely benign, it is always best to consult a healthcare professional if you have any doubts or if there are changes in your symptoms. Regular check-ups and open communication with your healthcare provider can help ensure your overall health and peace of mind.