White Bumps on the Penis and Testicles: Causes and Concerns - Urology

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Understanding white bumps on the penis and testicles can be concerning, and it’s important to approach this topic with accurate information. The white bumps you are describing, particularly those that are located at the base of the hair follicles and have a white substance that can be squeezed out, are likely sebaceous cysts or pearly penile papules.
Sebaceous Cysts: These are small, benign lumps that can occur when sebaceous glands become blocked. They are filled with a substance called sebum, which is produced by the sebaceous glands to lubricate the skin. These cysts are usually painless and can appear anywhere on the body, including the genital area. They are generally harmless and do not require treatment unless they become infected or bothersome.

Pearly Penile Papules: These are small, dome-shaped, white or flesh-colored bumps that typically appear around the corona of the glans (the head of the penis). They are a normal anatomical variation and are not a sign of any disease or infection. Pearly penile papules are common and do not require treatment unless the individual desires removal for cosmetic reasons.

Other Possible Causes: While sebaceous cysts and pearly penile papules are common benign conditions, other causes of white bumps on the penis could include:
1. Fordyce Spots: These are small, painless, pale bumps that are actually enlarged sebaceous glands. They are harmless and do not require treatment.

2. Lichen Planus: This is an inflammatory condition that can cause white patches or bumps on the genital area. It may be associated with itching or discomfort.

3. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or white bumps. They may be raised or flat and can be itchy or uncomfortable.

4. Fungal Infections: Conditions like candidiasis can cause white patches or bumps in the genital area, often accompanied by itching or irritation.

5. Pearly Penile Papules: As mentioned earlier, these are normal and not a cause for concern.

Given your description of the white bumps extending to the area under the foreskin, it is advisable to consult a healthcare professional, preferably a dermatologist or urologist, for an accurate diagnosis. They may perform a physical examination and, if necessary, additional tests to rule out any infections or other conditions.

When to Seek Medical Attention: You should seek medical attention if you experience any of the following symptoms:
- Pain or discomfort in the area.

- Changes in the appearance of the bumps (e.g., increased size, color change).

- Discharge or bleeding from the bumps.

- Any associated symptoms such as itching, burning, or swelling.

In conclusion, while many white bumps on the penis and testicles are benign and common, it is essential to have any new or changing lesions evaluated by a healthcare professional to ensure proper diagnosis and treatment if necessary. Regular self-examinations and awareness of your body can help you identify any changes early on, leading to timely medical advice and intervention.