What Could Be Causing Small Growths on the Foreskin? - Dermatology

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The small growths on the foreskin could be pearly penile papules, which are harmless and common. However, it's important to consult a healthcare professional for an accurate diagnosis and appropriate advice. Thank you?


In the past two days, I have developed three small growths on my foreskin, as indicated by the red circles in the photo (http://imgur.com/pBiU5em).
I would like to ask the doctor what this condition might be.
Thank you!

Da Hai, 30~39 year old female. Ask Date: 2014/03/27

Dr. Li Yufen reply Dermatology


Hello: Due to the insufficient resolution of the photo, it is difficult to see clearly.
Possible conditions include folliculitis, acne, sebaceous cysts, or molluscum contagiosum, among others.
It is recommended that you consult a dermatologist nearby for a confirmed diagnosis.
Thank you.

Reply Date: 2014/03/27

More Info


The appearance of small growths on the foreskin can be concerning, and it's important to approach this issue with a clear understanding of potential causes and appropriate actions. Based on your description of three small growths resembling "meatballs" on the foreskin, there are several possibilities to consider.

1. Pearly Penile Papules: One common benign condition that can cause small, dome-shaped bumps on the penis, particularly around the corona of the glans, is pearly penile papules. These are normal anatomical variations and are not harmful. They are often mistaken for warts or other growths but are completely harmless and do not require treatment.

2. Fordyce Spots: Another possibility is Fordyce spots, which are small, painless, pale bumps that can appear on the shaft of the penis or the foreskin. These are sebaceous glands that are not associated with any disease and are also considered a normal variant.

3. Genital Warts: If the growths are more irregular in shape or have a cauliflower-like appearance, they could potentially be genital warts, which are caused by the human papillomavirus (HPV). Genital warts can vary in size and may appear as small, flesh-colored or gray growths. If you suspect this, it is important to consult a healthcare provider for diagnosis and management.

4. Infections or Inflammatory Conditions: Conditions such as balanitis (inflammation of the glans) or other infections can lead to the formation of growths or lesions on the foreskin. Symptoms may include redness, swelling, or discharge. If there are accompanying symptoms like pain or discomfort, it is advisable to seek medical attention.

5. Cysts or Other Benign Growths: Sebaceous cysts or other benign growths can also occur in this area. These are usually painless and may require no treatment unless they become infected or bothersome.

Given the variety of potential causes, it is crucial to avoid self-diagnosis. The best course of action is to schedule an appointment with a healthcare provider, preferably a urologist or dermatologist, who can perform a physical examination and, if necessary, conduct further tests to determine the nature of the growths. They may also provide reassurance if the growths are benign and discuss any treatment options if needed.

In the meantime, it is advisable to maintain good hygiene and avoid any irritants or harsh soaps in the genital area. If you notice any changes in the growths, such as increased size, color change, or discomfort, these should be reported to your healthcare provider as well.

In summary, while there are several benign explanations for small growths on the foreskin, it is essential to consult a medical professional for an accurate diagnosis and appropriate management. Early evaluation can help alleviate concerns and ensure any necessary treatment is initiated promptly.

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