Painful Bumps Under the Foreskin: Causes and Solutions - Urology

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There are several bumps when the foreskin is pulled back?


There are several white bumps when I pull back my foreskin, and one of them is very red and painful.
Pulling back the foreskin also hurts, and it seems like urinating is a bit painful too.
This has never happened before yesterday.
I have a habit of using a urinal, but I accidentally overflowed it yesterday and it came into contact with my penis.
I have not had any sexual experience for many years and I have a longer foreskin.
I am very worried.

hen danxin de xiaodi, 20~29 year old female. Ask Date: 2009/04/21

Dr. Lai Ronghao reply Urology


Please drink more water and observe the urination and condition of the foreskin.
If there is still no improvement, it is best to seek medical attention as soon as possible.

Reply Date: 2009/04/21

More Info


Understanding painful bumps under the foreskin can be concerning, especially when accompanied by discomfort during urination and other symptoms. Based on your description, it seems you are experiencing a few white bumps under the foreskin, with one being particularly red and painful. This situation can arise from several causes, and it's essential to understand them to determine the best course of action.


Possible Causes
1. Balanitis: This is an inflammation of the glans (the head of the penis) and can occur due to poor hygiene, irritation from soaps or lotions, or infections. Symptoms often include redness, swelling, and pain, especially when the foreskin is retracted.

2. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans. They are usually white or skin-colored and do not cause pain. However, if they become inflamed or irritated, they may cause discomfort.

3. Folliculitis: This is an infection of the hair follicles that can lead to red, painful bumps. It can occur due to friction, irritation, or bacterial infection.

4. Sexually Transmitted Infections (STIs): Although you mentioned having no sexual experience, it’s still important to consider that some infections can be transmitted through non-sexual means or may have been present without symptoms.

5. Candidiasis (Yeast Infection): This can occur in men, especially if there is an imbalance in the natural flora, leading to symptoms like itching, redness, and painful bumps.

6. Allergic Reactions or Irritation: If you have recently changed soaps, detergents, or other personal care products, an allergic reaction could cause irritation and bumps.


Recommended Actions
1. Maintain Hygiene: Ensure that you are cleaning the area gently but thoroughly. Avoid using harsh soaps or products that could irritate the skin.

2. Avoid Irritants: If you suspect that a product may be causing irritation, discontinue its use and see if symptoms improve.

3. Warm Compresses: Applying a warm compress to the area may help reduce discomfort and inflammation.

4. Over-the-Counter Treatments: You may consider using over-the-counter antifungal creams if you suspect a yeast infection, but it’s best to consult a healthcare provider before starting any treatment.

5. Consult a Healthcare Provider: Given that you are experiencing pain and discomfort, especially during urination, it is crucial to see a healthcare professional. They can perform a physical examination, possibly run tests, and provide a proper diagnosis and treatment plan.

6. Avoid Sexual Activity: Until you have seen a doctor and received a diagnosis, it may be wise to avoid any sexual activity to prevent further irritation or potential transmission of infections.


Conclusion
Painful bumps under the foreskin can arise from various causes, and while some may be benign, others may require medical attention. Given your symptoms, particularly the pain during urination and the presence of a red, painful bump, it is advisable to seek medical advice promptly. A healthcare provider can offer a definitive diagnosis and appropriate treatment, ensuring that any underlying issues are addressed effectively. Remember, it’s always better to err on the side of caution when it comes to your health.

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