Bumps on the Penis: Possible Urological Conditions Explained

I would like to know what illness I have?

I have developed many small bumps at the base of my penis and on the scrotum.
I would like to know what condition this might be.
Here is the photo: http://www.badongo.com/cn/pic/7046987

Ya Ya, 20~29 year old female. Ask Date: 2009/09/04

Dr. Liu Jianting reply Urology

I'm sorry, the photo won't open (the file is no longer available).
Could those small bumps be hair follicles on the scrotum? Please visit a hospital and have a urologist examine it in person.

Reply Date: 2009/09/04

More Info

When it comes to bumps on the penis, there are several potential urological conditions that could be responsible for these symptoms. It's essential to approach this topic with sensitivity and an understanding of the various possibilities. Here’s a breakdown of some common causes of bumps on the penis and related areas:
1. Pearly Penile Papules: These are small, harmless bumps that typically appear around the corona of the glans (the head of the penis). They are a normal anatomical variant and are not associated with any disease or health risk. Many men have them, and they usually do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that can appear on the shaft of the penis and are caused by enlarged sebaceous (oil) glands. Like pearly penile papules, they are benign and do not require treatment.

3. Genital Warts: Caused by the human papillomavirus (HPV), genital warts can appear as small, flesh-colored or gray bumps. They can be raised or flat and may cluster together. If you suspect genital warts, it is important to see a healthcare provider for diagnosis and potential treatment.

4. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection. It can result in red bumps that may resemble pimples. Folliculitis can be treated with topical antibiotics or other medications as prescribed by a healthcare provider.

5. Cysts: Sebaceous cysts can develop in the genital area and appear as small lumps. They are usually harmless but can become infected, leading to pain and swelling.

6. Herpes Simplex Virus (HSV): This sexually transmitted infection can cause painful blisters or sores on the genital area. If you experience symptoms like itching, burning, or painful sores, it’s crucial to seek medical attention.

7. Lichen Planus: This is an inflammatory condition that can affect the skin and mucous membranes, including the genital area. It may present as flat-topped bumps that can be itchy or painful.

8. Penile Cancer: Although rare, persistent bumps or lesions that do not heal should be evaluated by a healthcare provider to rule out malignancy. Symptoms may include changes in skin color, persistent sores, or growths that bleed.

Given the variety of potential causes, it is crucial to consult a healthcare professional for an accurate diagnosis. They may perform a physical examination and, if necessary, order tests such as a biopsy or swab to determine the exact nature of the bumps.
In the meantime, avoid self-diagnosing or attempting to treat the bumps without professional guidance. Maintaining good hygiene, practicing safe sex, and being aware of any changes in your body are essential steps in managing your sexual health.
If you have any accompanying symptoms such as pain, itching, or discharge, or if the bumps change in appearance, it is even more critical to seek medical advice promptly. Remember, early diagnosis and treatment can lead to better outcomes and peace of mind.

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