Red and White Bumps on the Penis: When to See a Urologist - Urology

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When it comes to noticing unusual bumps or lesions on the penis, such as small red or white bumps, it’s essential to approach the situation with caution and awareness. The symptoms you describe—red bumps at the base of the penis and white bumps along the shaft—could be indicative of several conditions, ranging from benign to more serious issues.

Firstly, the presence of red and white bumps can be attributed to various causes. Common benign conditions include:
1. Pearly Penile Papules: These are small, harmless bumps that typically appear around the corona of the glans (the head of the penis). They are normal anatomical variations and do not require treatment.

2. Folliculitis: This is an inflammation of the hair follicles, which can occur due to irritation, infection, or blockage. It may present as small red bumps that can sometimes be itchy or painful.

3. Sebaceous Cysts: These are small, painless lumps that can occur due to blocked sebaceous glands. They are generally harmless but can become inflamed or infected.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or whitish bumps. They may require treatment, especially if they are bothersome or spreading.

5. Herpes Simplex Virus (HSV): This can cause painful blisters or sores, often accompanied by other symptoms like fever or swollen lymph nodes. If you suspect this, it is crucial to seek medical attention.

Given that you mentioned one of the red bumps was scratched and bled slightly, this could lead to secondary infection or irritation. The redness, swelling, and warmth you are experiencing afterward could be signs of inflammation or infection, which may require topical treatment or further evaluation.


When to See a Urologist
You should consider seeing a urologist if:
- The bumps persist or worsen over time.

- You experience pain, itching, or discomfort.

- There are changes in the appearance of the bumps, such as increased size, color change, or discharge.

- You have any accompanying symptoms like fever, unusual discharge, or swollen lymph nodes.


Recommendations
1. Avoid Irritation: Try not to scratch or irritate the area further, as this can lead to infection.

2. Maintain Hygiene: Keep the area clean and dry. Use mild soap and avoid harsh chemicals or fragrances that could irritate the skin.

3. Monitor Symptoms: Keep an eye on the bumps for any changes in size, color, or sensation.

4. Seek Professional Help: If the bumps do not resolve or if you develop new symptoms, it is advisable to consult a urologist. In Taipei, you can look for reputable hospitals or clinics specializing in urology. Many hospitals have dedicated urology departments where you can receive a thorough examination and appropriate treatment.

In conclusion, while many causes of red and white bumps on the penis can be benign, it is essential to monitor your symptoms closely and seek medical advice if you have any concerns. Early intervention can help prevent complications and provide peace of mind.