White Circles on the Glans: Urology Insights

White circular ring

Hello doctor, I would like to ask about a previously reddened corona (the area around the glans).
Initially, there were no significant abnormalities, but after the redness, a small circular white spot (approximately 2mm in diameter) appeared.
Although the redness has resolved, the white circle remains.
When I observe it from the side during an erection, it does not feel raised, and there is no pain or itching.
Could this indicate any issues?

Kuai Feng Le De Ren, 20~29 year old female. Ask Date: 2009/05/04

Dr. Xu Weikai reply Urology

Dear Patient,
I have reviewed your description, and I’m sorry, but I cannot make an accurate assessment.
I recommend seeking medical attention for a proper evaluation.
If there are any unclear aspects, please feel free to ask again, and we can further discuss and research the matter together.

Sincerely,
Dr.
Hsu Wei-Kai
Department of Urology
Taitung Hospital, Department of Health, Executive Yuan

Reply Date: 2009/05/04

More Info

The appearance of a white circle on the glans, particularly after a period of redness, can be concerning, but it is essential to understand the potential causes and implications. Based on your description, it seems that the white circle is approximately 2mm in diameter, has persisted after the redness subsided, and is not associated with pain or itching.
In urology, several conditions could explain the presence of a white circle on the glans. One possibility is a condition known as leukoplakia, which is characterized by white patches or spots on mucous membranes, including the genital area. This condition can arise from irritation, friction, or even infections. While leukoplakia itself is not typically painful, it can sometimes indicate underlying issues that may require further investigation.

Another potential cause could be a benign condition such as a pearly penile papule, which are small, dome-shaped bumps that can appear around the corona of the glans. These are normal anatomical variations and are not harmful. They are often mistaken for lesions or other pathological conditions, but they do not require treatment unless there is a cosmetic concern.

Additionally, a white circle could also be a remnant of a previous infection or inflammation, such as balanitis, which is an inflammation of the glans. If the inflammation has resolved, it is possible for some residual changes to remain, such as discoloration or texture changes.

Given that the white circle is not painful and has not changed significantly, it may not be a cause for immediate concern. However, it is crucial to monitor the area for any changes in size, color, or associated symptoms such as pain, itching, or discharge. If any of these symptoms develop, or if you have concerns about the appearance or persistence of the white circle, it is advisable to consult a urologist or dermatologist for a thorough examination.

In terms of management, if the white circle is determined to be benign, no treatment may be necessary. However, maintaining good hygiene and avoiding irritants can help prevent further issues. If there is any suspicion of an infectious process or if the appearance changes, appropriate diagnostic tests, such as a swab or biopsy, may be warranted to rule out any serious conditions.

In conclusion, while the presence of a white circle on the glans can be concerning, it is often benign, especially in the absence of pain or other symptoms. Regular monitoring and consultation with a healthcare provider can help ensure that any potential issues are addressed promptly. If you have further questions or concerns, do not hesitate to reach out to a medical professional for personalized advice and care.

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