White Bumps Under the Glans: Causes and Concerns - Urology

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The appearance of white, grainy, ring-like structures under the glans that are not itchy or painful could be a condition known as pearly penile papules.
These are small, benign growths that are common and typically do not require treatment.
However, it is always advisable to consult a healthcare professional for an accurate diagnosis and to rule out any other potential issues.

Sheng, 10~19 year old female. Ask Date: 2008/11/06

Dr. Cai Zongyou reply Urology


Hello: It is recommended that you visit the urology outpatient clinic directly.
Seeing is believing, as a written description alone is insufficient for assessment.
Thank you.

Reply Date: 2008/11/06

More Info


Understanding white bumps under the glans can be a source of concern for many individuals, especially when they appear suddenly or without any accompanying symptoms. The presence of these white bumps, often described as pearly or grain-like, can be attributed to several benign conditions, but it is essential to understand their nature and when to seek medical advice.

One common cause of white bumps under the glans is Pearly Penile Papules (PPP). These are small, dome-shaped, white or flesh-colored bumps that typically appear in a single or multiple rows around the corona of the glans. They are completely harmless and are considered a normal anatomical variant. PPP is often mistaken for sexually transmitted infections (STIs) or other pathological conditions, but they do not require treatment and are not a sign of any health issue.

Another possibility is Fordyce Spots, which are small, painless, pale bumps that can appear on the shaft of the penis or the scrotum. These spots are sebaceous glands that are not associated with hair follicles. Like PPP, Fordyce spots are benign and do not require any treatment.

In some cases, white bumps can be indicative of Pearly Penile Papules or Folliculitis, which is an inflammation of the hair follicles. This condition can occur due to irritation, infection, or blockage of the follicles. Folliculitis may present with redness and discomfort, but if the bumps are not itchy or painful, they are likely not a cause for concern.

However, if the white bumps are accompanied by other symptoms such as itching, burning, or discharge, it may indicate a more serious condition such as a sexually transmitted infection (e.g., genital warts caused by the human papillomavirus or herpes simplex virus). In such cases, it is crucial to seek medical evaluation for proper diagnosis and treatment.

It is also worth noting that individuals with a history of unprotected sexual activity should be particularly vigilant about any changes in their genital area. Regular check-ups with a healthcare provider can help monitor any changes and address concerns promptly.

In conclusion, while white bumps under the glans can be alarming, many of them are benign and do not require treatment. However, if there are any changes in the appearance of the bumps or if they are accompanied by other symptoms, it is advisable to consult a healthcare professional for a thorough evaluation. Maintaining good genital hygiene and practicing safe sex can help prevent many conditions associated with the genital area. If you have any further questions or concerns, do not hesitate to reach out to a healthcare provider for personalized advice and care.

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