Small White Bumps on the Penis: Causes and Treatment Options - Urology

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The small white bumps you are describing on the underside of the penis, particularly near the glans, could be a few different things. One common possibility is a condition known as pearly penile papules, which are harmless and typically appear as small, white or flesh-colored bumps arranged in a row around the corona of the glans. These are normal anatomical variations and do not require treatment unless they cause psychological distress.

Another possibility is sebaceous cysts or epidermoid cysts, which can occur when sebaceous glands become blocked. These cysts are usually painless and may appear as small, white bumps. They can sometimes become inflamed or infected, leading to discomfort or pus formation, but they are generally benign.

If the bumps are new, changing in appearance, or associated with other symptoms such as pain, itching, or discharge, it would be advisable to consult a healthcare professional. In such cases, a visit to a urologist or a dermatologist would be appropriate, as they specialize in conditions affecting the genital area and skin, respectively.

In terms of treatment, if the bumps are indeed pearly penile papules or sebaceous cysts, no treatment is necessary unless they are bothersome. If they are cysts that become infected, a healthcare provider may recommend drainage or, in some cases, surgical removal. Over-the-counter topical treatments are generally not effective for these types of bumps and may even irritate the skin further.

It's important to maintain good hygiene in the genital area, as this can help prevent infections and other skin issues. However, simply keeping the area clean will not eliminate these bumps if they are a normal anatomical variant or benign cysts.

If you are concerned about the appearance of these bumps or if they change in any way, it is best to seek medical advice. A healthcare professional can provide a proper diagnosis and recommend appropriate treatment options if necessary. Remember, it’s always better to err on the side of caution when it comes to changes in your body, especially in sensitive areas.