Glandular Issues: What Are Those Yellow Spots? - Urology

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Glans issues


Hello Doctor, I have not undergone circumcision, but I have noticed some small yellow spots below the glans, just beneath the urethral opening.
The foreskin is divided into left and right sides, with 3 to 5 spots on the left and 3 to 5 spots on the right.
They are not painful or itchy, and one is very small, about 0.1 mm or even smaller; it just looks strange.
They have been present for a long time, as I remember they appeared after the glans became exposed.
Additionally, there is a spot on the left side of the urethral opening that looks like a clear blister, which seems to be filled with fluid and appears to be getting larger.
There is no pain during urination, but the urine stream tends to veer to the right.
I have not engaged in sexual activity, and I believe I maintain good hygiene.
What could these be? Will they cause any issues? Is there a way to improve this condition?

andy, 20~29 year old female. Ask Date: 2011/11/04

Dr. Xu Weikai reply Urology


Andy: Hello! 1.
Smaller ones, with many small protrusions, may be pearly penile papules.
2.
Larger ones require actual examination for diagnosis, and if necessary, they may need to be excised.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
This response is from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2011/11/04

More Info


It sounds like you are experiencing some concerns regarding yellow spots and a fluid-filled bump near the urethra. Let's break down your symptoms and address your questions.

1. Yellow Spots on the Glans: The small yellow spots you describe on the glans (the head of the penis) could be a few different things. One possibility is that they are sebaceous glands, which are normal anatomical structures that can appear as small yellowish spots. These glands secrete oil to keep the skin lubricated and can sometimes be more prominent in certain individuals. Another possibility is that they could be pearly penile papules, which are harmless and common variations of normal anatomy. They typically do not cause any discomfort or require treatment.

2. Fluid-Filled Bump: The bump you mentioned near the urethral opening that resembles a blister or water-filled cyst could be a few things as well. One common condition is a mucous cyst, which can occur when a gland becomes blocked. These cysts are usually benign and may resolve on their own. However, if the bump is growing or causing any changes in urination, it would be wise to have it evaluated by a healthcare professional.

3. Impact and Concerns: Generally, the conditions described above are not harmful and do not typically lead to serious complications. However, if you notice any changes such as pain, increased size of the bump, or any unusual discharge, it is important to seek medical advice. While you mentioned that you have not engaged in sexual activity, maintaining good hygiene is crucial for preventing infections or irritations.

4. Improvement Options: If you are concerned about the appearance of these spots or the bump, a consultation with a urologist or dermatologist would be beneficial. They can provide a thorough examination and determine if any treatment is necessary. In many cases, if the spots and bump are benign, no treatment is required. However, if they are bothersome or if there is a concern for infection or another condition, your doctor may suggest options such as topical treatments or, in some cases, minor surgical procedures.

In summary, while the yellow spots and fluid-filled bump you are experiencing may be benign, it is always best to consult with a healthcare professional for a proper diagnosis and peace of mind. They can provide personalized advice based on a physical examination and any necessary tests. Remember, taking care of your health and addressing concerns early can lead to better outcomes.

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