Pimples on the Foreskin: Causes and Treatments - Urology

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When it comes to the appearance of pimples or bumps on the foreskin, it's essential to differentiate between various potential causes, as the treatment and implications can vary significantly. The symptoms you've described—specifically, a painful bump with pus that recurs after being squeezed—could indicate several conditions, including folliculitis, a sebaceous cyst, or even a sexually transmitted infection (STI) such as herpes or molluscum contagiosum.

1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial infection. It can present as red, swollen bumps that may contain pus. The condition can be exacerbated by friction, moisture, or irritation, which is common in the genital area. Treatment typically involves good hygiene, warm compresses, and sometimes topical antibiotics if the infection is significant.

2. Sebaceous Cysts: These are non-cancerous lumps that can form under the skin when sebaceous glands become blocked. They can become inflamed or infected, leading to pus formation. If the cyst is not causing significant discomfort, it may not require treatment, but if it becomes painful or recurrent, a healthcare provider may recommend drainage or removal.

3. Sexually Transmitted Infections (STIs): Certain STIs can cause lesions or bumps on the genital area. For instance, herpes can cause painful blisters that may rupture and ooze pus. If you suspect this could be the case, especially if you have had unprotected sexual contact, it is crucial to seek medical evaluation. Testing and appropriate antiviral treatment may be necessary.

4. Other Conditions: Other dermatological conditions, such as pearly penile papules or lichen planus, can also present as bumps on the foreskin. These are generally harmless but can be mistaken for something more serious.


Treatment Options:
- Hygiene: Maintaining good genital hygiene is crucial. Gently wash the area with mild soap and water, and avoid squeezing or picking at the bumps, as this can worsen the infection or lead to scarring.

- Warm Compresses: Applying a warm compress can help reduce pain and promote drainage if there is an infection.

- Topical Antibiotics: If a bacterial infection is suspected, a healthcare provider may prescribe topical antibiotics.

- Oral Antibiotics: For more severe infections or if topical treatments are ineffective, oral antibiotics may be necessary.

- Medical Evaluation: If the bump persists, worsens, or is accompanied by other symptoms (such as fever, systemic illness, or multiple lesions), it is essential to consult a healthcare provider for a thorough evaluation. They may perform a physical examination and, if necessary, laboratory tests to determine the exact cause.


Conclusion:
While it may be tempting to self-diagnose conditions like "pimples" on the foreskin, it is always best to consult with a healthcare professional for an accurate diagnosis and appropriate treatment. Conditions affecting the genital area can be sensitive and sometimes serious, so seeking medical advice is a prudent step to ensure proper care and peace of mind.