Bumps on the Foreskin: Causes and Treatment Options

There are blisters on the foreskin?

Hello Dr.
Lai,
I apologize for bothering you.
I have a small question to ask.
I have developed a few small bumps on my foreskin.
I previously saw a doctor who said it was caused by phimosis and prescribed me some topical medication.
Currently, I am in mainland China and did not bring the medication with me.
Could you please advise me on what over-the-counter medication I should buy to apply? Thank you for taking the time to answer my question amidst your busy schedule.
Thank you!

Hai Lan Lan, 40~49 year old female. Ask Date: 2009/10/19

Dr. Lai Ronghao reply Urology

I sincerely apologize! Since I cannot see your condition in person, I am unable to provide accurate advice.
I recommend that you seek medical attention nearby.

Reply Date: 2009/10/19

More Info

Understanding bumps on the foreskin can be a source of concern for many individuals. These bumps can arise from various causes, and it is essential to identify the underlying issue to determine the appropriate treatment options.
One common cause of bumps on the foreskin is pearls or pearly penile papules, which are small, harmless bumps that typically appear around the corona of the glans. They are a normal anatomical variant and do not require treatment. However, if the bumps are new, changing, or accompanied by other symptoms such as pain, itching, or discharge, it is crucial to seek medical advice.

Another potential cause could be sebaceous cysts, which are small, non-cancerous lumps that can occur due to blocked sebaceous glands. These cysts are usually painless and may resolve on their own, but if they become inflamed or infected, they may require medical intervention.

Infections can also lead to bumps on the foreskin. Conditions such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin) can cause swelling and bumps. These conditions can result from poor hygiene, irritants, or infections, including sexually transmitted infections (STIs). If you suspect an infection, it is essential to consult a healthcare professional for appropriate diagnosis and treatment.

Regarding treatment options, if you have been prescribed a topical medication previously, it would be best to use a similar type of medication. Over-the-counter options may include:
1. Antifungal creams: If there is a suspicion of a fungal infection, creams containing clotrimazole or miconazole can be effective.

2. Hydrocortisone cream: This can help reduce inflammation and irritation if the bumps are due to dermatitis or irritation.

3. Antiseptic creams: If there is any sign of infection, using a mild antiseptic cream may help prevent further irritation.

However, it is crucial to avoid self-diagnosing and treating without proper guidance. If the bumps persist, worsen, or are accompanied by other symptoms, it is advisable to seek medical attention. A healthcare provider can perform a thorough examination and may recommend further tests if necessary.

In summary, while some bumps on the foreskin may be harmless, others may require medical evaluation and treatment. It is always best to err on the side of caution and consult a healthcare professional if you have any concerns about changes in your genital area.

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