Common Glans Penis Issues: What You Need to Know

Glans issues

1.
The small flesh-colored bumps located just below the glans that are painless and itch-free may be pearly penile papules, which are a normal anatomical variation and not a sign of infection.

2.
The small square-shaped area (approximately 0.1 cm) on the dorsal side of the glans, which is light brown in color and also painless and itch-free, could be a sebaceous gland or a harmless skin lesion.

Thank you for your inquiry, and I appreciate your understanding!

Xiao Yang, 20~29 year old female. Ask Date: 2015/09/07

Dr. Li Yilun reply Urology

Common skin protrusions may be caused by keratin abnormality leading to pearly penile papules, which appear as skin-colored or light brown, round, multiple small nodules resembling tiny beads, about the size of a pinhead.
These are primarily due to cystic retention of keratin in the upper dermis; they may also result from androgen stimulation during puberty, leading to sebaceous gland hyperplasia, ectopic sebaceous glands, or epidermal pigmentation.
However, pearly penile papules are white in appearance, while sebaceous gland hyperplasia is yellow.
Typically, there is no need for treatment for pearly penile papules.
Some may occur on the penis or directly on the nipples.
Additionally, some small papules are referred to as pearly penile papules.
This condition does not affect your health or physiological function, and treatment is unnecessary if asymptomatic.
Approximately 10% of males may develop pearly penile papules.
These small papules are arranged in rows (circumferentially) along the coronal sulcus of the penis, ranging from the size of a pinhead to that of a grain of millet, and are skin-colored or light pink.
They cannot be washed or scraped off, are painless and itch-free, and represent a benign skin condition.
The exact cause is still unclear; however, they do not impact the patient's overall health, urinary function, or sexual function, and they are not contagious.
The color of pearly penile papules can be pink, white, or yellow, with transparent ones being less common.
They typically measure 1-2 mm in width and 1-4 mm in length, appearing as rounded papules arranged in single or double rows along the coronal sulcus of the penis.
Usually asymptomatic, most patients discover them incidentally.
However, if there are concerns, it is advisable to consult a dermatologist or urologist.
Physicians often need to perform visual inspection, palpation, and patient history to confirm the diagnosis, as pearly penile papules are not a disease.
Urologists have not developed treatments specifically for pearly penile papules, so if treatment is being considered, please consult a dermatologist for advice.

Reply Date: 2015/09/07

More Info

When it comes to common issues related to the glans penis, it's important to understand that many conditions can present with similar symptoms, and a thorough examination by a healthcare professional is often necessary for accurate diagnosis. Based on your description, let’s address your concerns regarding the small skin-colored bumps and the small square-shaped area on the underside of the glans.

1. Skin-colored Bumps on the Neck of the Glans: The small skin-colored bumps you are observing could be a variety of benign conditions. One common possibility is Pearly Penile Papules, which are small, dome-shaped, skin-colored bumps that typically appear around the corona of the glans. They are completely harmless and are considered a normal anatomical variant. Another possibility could be Fordyce Spots, which are small, painless, pale bumps that are sebaceous glands that are not associated with hair follicles. They are also benign and do not require treatment.

In terms of infection, these types of bumps are not typically associated with sexually transmitted infections (STIs) or other infectious processes, especially since you mentioned they are not painful or itchy. However, if you notice any changes in size, color, or if they become painful or itchy, it would be wise to consult a healthcare provider for further evaluation.

2. Small Square-shaped Area on the Underside of the Glans: The small, light brown square-shaped area you described could be another benign condition, such as a seborrheic keratosis or a mole. These are generally harmless and can vary in color and shape. Like the bumps, if this area is not causing any discomfort or changes, it is likely not a cause for concern.
However, it is essential to monitor any skin changes, as certain skin conditions can evolve. If you notice any changes in color, size, or if it becomes symptomatic (itchy, painful, or bleeding), it is advisable to seek medical attention.
In summary, both of the conditions you described sound benign, especially given the lack of symptoms such as pain or itching. However, it is always best practice to have any new or unusual skin changes evaluated by a healthcare professional, particularly a dermatologist or urologist, who can provide a more definitive diagnosis and peace of mind. Regular self-examination and awareness of your body are key components of maintaining sexual health.
If you have any further concerns or if these areas change in any way, please do not hesitate to reach out to a healthcare provider. They can provide personalized advice and treatment options if necessary. Remember, maintaining open communication with your healthcare provider about any concerns is crucial for your overall health and well-being.

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