White Bumps on the Penis: Pearly Papules vs. Warts - Urology

More Info

---

When it comes to understanding the white bumps on the penis, particularly in the context of pearly penile papules (PPP) versus genital warts (caused by human papillomavirus or HPV), it's essential to differentiate between these two conditions based on their characteristics, location, and behavior.

Pearly penile papules are small, dome-shaped, white or skin-colored bumps that typically appear around the corona of the glans (the head of the penis). They are a normal anatomical variant and are not considered a sexually transmitted infection (STI). PPP is harmless and does not require treatment unless the individual desires cosmetic removal. They usually do not change in size or number over time and are not associated with any symptoms such as itching or pain.

On the other hand, genital warts are caused by certain strains of HPV and can appear as small, flesh-colored or white bumps that may be raised or flat. They can occur anywhere in the genital area, including the shaft of the penis, and may vary in size and shape. Unlike pearly penile papules, genital warts can multiply and may cause discomfort, itching, or bleeding, especially if they are irritated or traumatized. They are contagious and can be transmitted through sexual contact.

In your case, you mentioned discovering two small white bumps on the penile frenulum (the band of tissue on the underside of the penis) and that one was accidentally removed, resulting in some bleeding. Given the size (less than 1 mm) and the location of the bumps, it is more likely that they are pearly penile papules, especially if they have a smooth surface and are asymptomatic. However, if the bump you removed had a different texture or appearance, it could potentially be a wart.

It's important to note that while pearly penile papules are generally stable and do not change, genital warts can grow and change over time. If you have a history of high-risk sexual behavior, it is advisable to consult a healthcare provider for a thorough examination. They may perform a visual inspection and, if necessary, a biopsy to confirm the diagnosis.
Regarding your concern about whether pearly penile papules or warts can grow on the frenulum, it is indeed possible for both conditions to appear in that area. However, the characteristics of the bumps will help in distinguishing between the two. Pearly penile papules are typically uniform and symmetrical, while genital warts may appear irregular and can cluster together.

If you are experiencing anxiety about these bumps, it is always best to seek professional medical advice. A healthcare provider can provide reassurance, confirm the diagnosis, and discuss potential treatment options if needed. Remember, self-diagnosis can often lead to unnecessary worry, so getting a professional opinion is the best course of action.
In summary, while pearly penile papules are benign and require no treatment, genital warts are a sexually transmitted infection that may require medical intervention. If you have any doubts or if the bumps change in appearance, do not hesitate to reach out to a healthcare professional for further evaluation.