Small Bumps on the Foreskin: When to See a Doctor

Small bumps on the foreskin?

Hello, doctor.
I have a small black mole-like growth on my foreskin that hasn't changed in size for a while.
I'm unsure what this could be.
If I seek medical attention, should I see a urologist or a dermatologist? Thank you.

stevelin, 30~39 year old female. Ask Date: 2014/07/22

Dr. Xu Wencang reply Urology

Melanocytic nevi on the skin of the reproductive system should be closely monitored for any changes, as there is a higher risk of developing melanoma.
For larger lesions, outpatient surgical excision is still recommended.

Reply Date: 2014/07/22

More Info

When it comes to small bumps on the foreskin, it's important to approach the situation with a clear understanding of what these bumps could be and when it is necessary to seek medical attention. Based on your description of a small black mole-like bump that has remained the same size for a while, there are several possibilities to consider.

Firstly, the bump could be a benign skin lesion such as a seborrheic keratosis, a dermatofibroma, or even a harmless mole (nevi). These types of lesions are generally not a cause for concern, especially if they have not changed in size, shape, or color over time. However, it is crucial to monitor any changes, as changes in a mole's appearance can sometimes indicate a more serious condition, such as melanoma.

Another possibility is that the bump could be a pearly penile papule, which is a normal anatomical variation found in many men. These small, dome-shaped bumps are typically located around the corona of the glans and are harmless. They do not require treatment unless they cause discomfort or concern.

However, if the bump is accompanied by other symptoms such as pain, itching, bleeding, or discharge, or if it begins to change in appearance, it is advisable to seek medical attention. In such cases, it would be prudent to consult a urologist, as they specialize in conditions related to the male reproductive system and can provide a thorough examination and appropriate diagnosis.

In terms of when to see a doctor, here are some guidelines:
1. Persistent Symptoms: If the bump has been present for an extended period (more than a few weeks) without any changes, it is generally safe to monitor it. However, if you notice any changes in size, color, or shape, or if it becomes painful, you should seek medical advice.

2. Accompanying Symptoms: If you experience any additional symptoms such as pain, discomfort, or unusual discharge, it is important to see a doctor promptly. These symptoms could indicate an infection or other underlying conditions that may require treatment.

3. Anxiety and Concern: If the presence of the bump is causing you anxiety or concern, it is always better to err on the side of caution and consult a healthcare professional. They can provide reassurance and, if necessary, conduct further investigations.

4. Routine Check-ups: Regular check-ups with a healthcare provider can help monitor any changes in your skin or other health concerns. If you have a history of skin issues or other risk factors, discussing these with your doctor can provide peace of mind.

In conclusion, while a small, stable bump on the foreskin may not be a cause for immediate concern, it is essential to remain vigilant and seek medical advice if any changes occur or if you experience additional symptoms. Consulting a urologist would be the most appropriate course of action, as they can evaluate the bump in the context of your overall health and provide tailored recommendations. Remember, your health and peace of mind are paramount, so do not hesitate to reach out for professional guidance when needed.

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