White Bump on Urethral Opening: Causes and Concerns

The glans and urethral opening appear white?

Today, while taking a shower, I noticed a small bump at the urethral opening that looks like a pimple, white in color.
I'm not sure if it is infected or if it could be a sign of some other condition.
What could it be?

Axi, 40~49 year old female. Ask Date: 2015/08/13

Dr. Li Yilun reply Urology

Symptoms that are not obvious cannot be assessed solely based on your brief description; a thorough medical history and consultation are necessary.
If you have any doubts, it is advisable to seek evaluation and examination from a qualified physician.
Doctors often require a detailed medical history, physical examination, and diagnostic tests to establish a diagnosis and treatment plan.
It is recommended to consult a nearby urologist for evaluation and treatment.

Reply Date: 2015/08/13

More Info

The appearance of a white bump at the urethral opening can be concerning and may indicate several potential conditions. It is essential to approach this issue with caution and seek medical advice for an accurate diagnosis and appropriate treatment. Here are some possible causes for the white bump you observed:
1. Pearly Penile Papules: These are small, benign bumps that can appear around the glans of the penis and are often mistaken for a disease. They are harmless and do not require treatment.

2. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection. It can lead to small, white, pus-filled bumps that may resemble pimples. Folliculitis can be caused by bacteria, fungi, or irritation from shaving or tight clothing.

3. Fordyce Spots: These are small, painless, pale bumps that can appear on the shaft of the penis or near the urethra. They are sebaceous glands that are visible through the skin and are completely normal.

4. Infections: A white bump could also indicate a sexually transmitted infection (STI) such as genital warts (caused by the human papillomavirus) or herpes. These infections can present with various symptoms, including bumps, sores, or discharge.

5. Cysts: Sebaceous cysts can form in the genital area and may appear as small, white bumps. They are usually harmless but can become infected.

6. Irritation or Allergic Reaction: Sometimes, irritation from soaps, lotions, or other products can cause localized inflammation and the appearance of bumps.

Given that you mentioned the bump looks like a pimple and you are unsure if it is infected, it is crucial to monitor the bump for any changes. If it becomes painful, shows signs of infection (such as redness, swelling, or discharge), or if you experience other symptoms like itching or burning during urination, you should seek medical attention promptly.

In the meantime, here are some recommendations to consider:
- Avoid Irritation: Refrain from using harsh soaps or products on the genital area. Opt for mild, unscented products to reduce irritation.

- Maintain Hygiene: Keep the area clean and dry. Regular washing with mild soap and water can help prevent infections.

- Avoid Picking: Do not attempt to pop or squeeze the bump, as this can lead to infection or scarring.

- Monitor Symptoms: Keep track of any changes in the bump or the development of new symptoms, such as pain, discharge, or changes in urination.

Ultimately, while some conditions are benign, others may require treatment. Therefore, it is advisable to consult a healthcare professional, preferably a urologist, who can perform a physical examination and possibly run tests to determine the exact nature of the bump. Early diagnosis and treatment can help prevent complications and ensure your overall health and well-being.

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