Red Spots at the Base of the Penis: Causes and Concerns - Urology

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Red spots at the base of the penis can be concerning, especially when they appear suddenly or change in appearance. Based on your description, these spots are small, round, and have a shiny surface, which can indicate several potential causes. Here are some common explanations for such symptoms:
1. Folliculitis: This is an inflammation of the hair follicles, which can occur in the pubic area. It may present as small red bumps that can sometimes be mistaken for other skin conditions. Folliculitis can be caused by irritation from shaving, friction from clothing, or bacterial infections.

2. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans penis. They are typically flesh-colored or slightly red and are a normal anatomical variant. They do not require treatment unless they cause discomfort or concern.

3. Seborrheic Keratosis: This is a benign skin growth that can appear as a small, round, red or brown spot. They are common and usually do not require treatment unless they become bothersome.

4. Contact Dermatitis: If you have recently changed soaps, detergents, or personal care products, you may be experiencing an allergic reaction or irritation, leading to red spots. This can happen if the skin is sensitive to certain ingredients.

5. Infections: Conditions such as herpes or other sexually transmitted infections (STIs) can also present with red spots or lesions. If the spots are accompanied by other symptoms like pain, itching, or discharge, it is crucial to seek medical attention.

6. Lichen Planus: This is an inflammatory condition that can affect the skin and mucous membranes, leading to shiny, red spots or lesions. It is less common but can occur in the genital area.

Given that these spots can sometimes be more visible after bathing, it may suggest that moisture or temperature changes are affecting their appearance. However, the fact that they are not consistently visible and do not seem to cause discomfort is a positive sign.


Recommendations:
- Observation: If the spots are not causing pain, itching, or other symptoms, you may choose to monitor them for any changes over time. Keep an eye on their size, color, and any associated symptoms.

- Hygiene: Maintain good hygiene in the area, using mild, unscented soaps and avoiding harsh chemicals that could irritate the skin.

- Avoid Irritants: If you suspect that a new product may be causing irritation, consider discontinuing its use to see if the spots improve.

- Consult a Healthcare Provider: If the spots persist, change in appearance, or if you develop any additional symptoms (such as pain, discharge, or fever), it is advisable to consult a healthcare provider. A dermatologist or urologist can perform a physical examination and may recommend tests to determine the exact cause of the spots.

In summary, while the red spots at the base of the penis may not be a cause for immediate concern, it is essential to monitor them and seek medical advice if they change or if you have any doubts about their nature. Early evaluation can help rule out any serious conditions and provide peace of mind.