Bumps on the Glans: When to See a Urologist - Urology

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When it comes to bumps or lesions on the glans (the head of the penis), it is essential to approach the situation with caution and awareness of potential underlying conditions. Based on your description, you have noticed a shiny, slightly red bump on the glans that has persisted for two to three weeks without accompanying symptoms such as itching or pain. While it is good that you maintain proper hygiene by regularly cleaning the area, the persistence and change in size of the bump warrant further evaluation.

There are several possibilities for the appearance of bumps on the glans, and they can range from benign to more serious conditions. Some common causes include:
1. Pearly Penile Papules: These are small, benign bumps that can appear around the corona of the glans. They are normal anatomical variations and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that are sebaceous glands without hair follicles. They are harmless and common.

3. Balanitis: This is inflammation of the glans, which can cause redness and swelling. It may be due to infections, irritants, or poor hygiene.

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

5. Cysts: Sebaceous cysts can develop in the genital area and may appear as bumps. They are usually harmless but can become infected.

6. Other Infections: Fungal or bacterial infections can lead to lesions or bumps on the glans.

Given that the bump has persisted for several weeks and appears to be changing, it is advisable to consult a urologist. A urologist specializes in conditions related to the urinary tract and male reproductive organs, making them well-equipped to evaluate your symptoms. During the consultation, the urologist will likely perform a physical examination and may ask about your medical history, sexual history, and any other symptoms you may have experienced.

In terms of when to seek medical attention, it is generally recommended to see a healthcare provider if you notice any of the following:
- Persistent bumps or lesions that do not resolve within a few weeks.

- Changes in the size, shape, or color of the bumps.

- Development of additional symptoms such as pain, itching, or discharge.

- Any concerns about sexually transmitted infections (STIs) or other health issues.

In your case, since the bump has been present for an extended period and seems to be increasing in size, it is prudent to schedule an appointment with a urologist. They can provide a proper diagnosis and recommend appropriate treatment if necessary.
In summary, while many bumps on the glans can be benign, the persistence and changes in your case suggest that a professional evaluation is warranted. Don't hesitate to seek medical advice, as early diagnosis and treatment can help alleviate any concerns and ensure your health and well-being.