White Bumps on the Glans: Pearly Penile Papules or Infection?

There are millet-sized white spots on the glans penis?

There has been no sexual activity.
Four days ago, I noticed a white spot about the size of a grain of rice at the coronal sulcus of the glans.
When I pinch it with my fingers, it is not painful or itchy; it feels slightly firm and slightly raised.
Prior to this white spot, I already had pearly penile papules, so the surface of the white spot resembles the state of pearly penile papules.
I regularly clean this area during personal hygiene, and there is no issue with long-term accumulation of dirt, nor is there a problem with phimosis.
Could this be classified as balanitis, or is it also considered pearly penile papules?

Niming, 20~29 year old female. Ask Date: 2015/02/08

Dr. Li Xinyi reply Urology

It sounds a bit unusual; it is recommended to consult a urologist to document and monitor the situation.
If the doctor finds any issues, they may even suggest performing a biopsy.

Reply Date: 2015/02/08

More Info

When it comes to the appearance of white bumps on the glans, particularly in the context you've described, it is essential to differentiate between benign conditions like pearly penile papules and potential infections or other dermatological issues. Based on your description, it seems that you are observing a small white bump at the corona of the glans, which is not painful or itchy, and has a firm texture.
Pearly penile papules (PPP) are a common and normal anatomical variant found on the glans of many males. They typically appear as small, white or flesh-colored bumps arranged in one or more rows around the corona of the glans. They are harmless and do not require treatment. The fact that you have previously noticed similar bumps suggests that what you are experiencing may indeed be an extension of these papules rather than a sign of infection or inflammation.

On the other hand, if the bump were indicative of a condition such as balanitis (inflammation of the glans), you would likely experience additional symptoms such as redness, swelling, pain, or discharge. Since you mentioned that the bump does not cause discomfort and you maintain good hygiene, it is less likely that you are dealing with an infection.

It is also worth noting that conditions such as pearly penile papules are often confused with other dermatological issues, including Fordyce spots (which are sebaceous glands that appear as small, painless, pale bumps) or even genital warts, which are caused by the human papillomavirus (HPV). However, genital warts typically have a different appearance and may be associated with other symptoms.

Given that you have not engaged in any sexual activity and have no history of irritation or trauma to the area, the likelihood of a sexually transmitted infection (STI) is low. However, if you notice any changes in the size, shape, or color of the bump, or if you develop any new symptoms such as pain, itching, or discharge, it would be prudent to consult a healthcare professional for a thorough evaluation.

In summary, based on your description, it seems that the white bump you are observing is likely a continuation of pearly penile papules rather than an indication of an infection or other pathological condition. However, if you have any concerns or if the situation changes, seeking medical advice is always a good practice to ensure your health and peace of mind. Regular self-examinations and maintaining good hygiene are essential, and if you have any doubts, don't hesitate to reach out to a healthcare provider for further assessment.

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