White Bumps on the Penis and Scrotum: When to Seek Help - Urology

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When it comes to the appearance of white bumps on the penis and scrotum, it’s essential to understand that there are various potential causes, and determining the right course of action is crucial for your health and peace of mind. Based on your description, these bumps resemble small, pimple-like lesions that do not burst or exude any fluid, and they occasionally itch. Given that you have not engaged in sexual activity and have undergone health checks without any indication of sexually transmitted infections (STIs), it is likely that these bumps are benign.


Possible Causes of White Bumps
1. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans (the head of the penis). They are a normal anatomical variation and do not require treatment.

2. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection or irritation. It can lead to small, red or white bumps that may itch or be tender.

3. Sebaceous Cysts: These are small, non-cancerous lumps beneath the skin that can occur anywhere on the body, including the genital area. They are usually painless and may contain a thick, yellowish substance.

4. Genital Warts: Caused by certain strains of the human papillomavirus (HPV), these can appear as small, flesh-colored or white bumps. They are typically painless but can be itchy.

5. Molluscum Contagiosum: This is a viral infection that causes small, raised, pearly-white bumps. They can be itchy and are usually harmless but can spread through skin-to-skin contact.


When to Seek Help
Given that these bumps have been present for several years and have not changed significantly, it may be beneficial to consult a healthcare professional for a proper diagnosis. Here are some guidelines on when to seek help:
- If the bumps change in appearance: Any changes in size, color, or texture should prompt a visit to a doctor.

- If you experience pain or discomfort: Persistent itching, pain, or any other discomfort should be evaluated.

- If you notice additional symptoms: Symptoms such as discharge, bleeding, or fever should not be ignored.


Which Specialist to See
In your case, it would be advisable to start with a visit to a urologist, as they specialize in male reproductive health and can provide insights into any potential issues related to the genital area. If the urologist determines that the bumps are related to a skin condition, they may refer you to a dermatologist for further evaluation and treatment.


Conclusion
While it is understandable to feel concerned about the appearance of white bumps on your penis and scrotum, many conditions are benign and do not require treatment. However, consulting a healthcare professional is the best way to ensure that you receive an accurate diagnosis and appropriate care. Regular check-ups and open communication with your doctor about any changes in your body are essential for maintaining your health. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek help if you have any concerns.