Pimples Near the Glans: Causes and Treatments - Urology

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Understanding pimples or lesions near the glans, particularly in the area where the glans meets the shaft of the penis (often referred to as the "corona" or "neck" of the glans), can be concerning for many individuals. The symptoms you describe—redness, swelling, the formation of pus-filled bumps, and eventual healing—suggest a few possible conditions that may be at play.

One common cause of such lesions is folliculitis, which is an inflammation of the hair follicles. This can occur due to bacterial infection, irritation, or blockage of the follicles. In the genital area, this condition can be exacerbated by factors such as friction from clothing, poor hygiene, or even shaving. The lesions may appear similar to pimples and can be red, swollen, and filled with pus. They often resolve on their own but can be treated with topical antibiotics if they become infected.

Another possibility is a condition known as molluscum contagiosum, which is a viral infection that leads to small, raised, pearly bumps on the skin. These bumps can sometimes become inflamed and may resemble pimples. Molluscum contagiosum is typically self-limiting, but treatment may be necessary if the lesions become bothersome or if there is a risk of spreading the virus to others.

Additionally, sexually transmitted infections (STIs) such as herpes simplex virus (HSV) can cause similar symptoms. Herpes lesions often start as small red bumps that can blister and become painful. If you suspect that your lesions might be related to an STI, it is crucial to seek medical evaluation and testing.

Your observation that these lesions tend to appear when your immune system is compromised (such as during a cold) is also noteworthy. A weakened immune system can make individuals more susceptible to infections, including those that cause skin lesions.

In terms of treatment, the approach will depend on the underlying cause of the lesions. For folliculitis, maintaining good hygiene, avoiding tight clothing, and using topical antibiotics can be effective. If the lesions are viral, such as in the case of molluscum contagiosum or herpes, antiviral medications may be indicated. It is essential to avoid picking at or squeezing the lesions, as this can lead to further irritation or secondary infections.

If you are experiencing recurrent lesions or if they are accompanied by other symptoms such as pain, itching, or discharge, it is advisable to consult a healthcare provider. They can perform a physical examination, take a detailed medical history, and possibly conduct laboratory tests to determine the exact cause of your symptoms. This will help in formulating an appropriate treatment plan tailored to your specific condition.

In summary, while the lesions you describe may resemble typical pimples, their location and associated symptoms warrant a careful evaluation to rule out infections or other dermatological conditions. Maintaining good hygiene, monitoring your immune health, and seeking medical advice when necessary are key steps in managing your symptoms effectively.