Small White Bumps on the Glans: Causes and Concerns

There is a small white spot on the coronal sulcus of the glans penis?

I would like to ask about a small white spot on the coronal sulcus of the glans, and a few similar spots on the penile foreskin.
Is this an infection or could it be caused by something else?

A Pan, 20~29 year old female. Ask Date: 2015/09/25

Dr. Xu Weikai reply Urology

Hello, it is recommended to seek medical examination as it could be a sebaceous cyst, also known as a pilar cyst.
This is generally normal, but it could also be other lesions.
If you have any further questions, feel free to ask, and we can discuss and research together.
Online responses should only be used as a reference; if necessary, it is important to visit a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/09/25

More Info

Understanding small white bumps on the glans, particularly in the context of the corona (the ridge of the glans) and the foreskin, can be a source of concern for many individuals. These bumps can arise from various causes, and it’s essential to differentiate between benign conditions and those that may require medical attention.

One common cause of small white bumps on the glans is Pearly Penile Papules (PPP). These are small, dome-shaped, white or flesh-colored bumps that typically appear in a single or multiple rows around the corona of the glans. PPP is a normal anatomical variant and is not associated with any disease or infection. They are harmless and do not require treatment unless they cause psychological distress.

Another possibility is Fordyce spots, which are small, painless, pale bumps that can appear on the glans, shaft, or foreskin. These are sebaceous glands that are not associated with hair follicles and are also considered a normal variant. Like PPP, Fordyce spots are benign and do not require treatment.

In some cases, small white bumps may be indicative of frictional keratosis, which can occur due to irritation or friction from sexual activity or masturbation. This condition is also benign and typically resolves with reduced irritation.

However, it is crucial to consider other potential causes, such as infections. For instance, genital warts, caused by the human papillomavirus (HPV), can present as small, raised bumps on the genital area. These may be flesh-colored or white and can vary in size. If the bumps are accompanied by other symptoms such as itching, burning, or discharge, it may indicate an infection that requires medical evaluation.

Another infectious cause could be herpes simplex virus (HSV), which can lead to painful blisters or sores on the genital area. If the small white bumps are painful or associated with flu-like symptoms, it is essential to seek medical advice.

Balanitis, an inflammation of the glans, can also lead to the appearance of bumps or lesions. This condition can be caused by poor hygiene, irritants, or infections, and may require treatment with topical medications or improved hygiene practices.

If you notice any changes in the appearance of the bumps, such as an increase in size, color change, or if they become painful, it is advisable to consult a healthcare professional. A urologist or dermatologist can provide a thorough examination and, if necessary, perform tests to determine the exact cause of the bumps.

In summary, while small white bumps on the glans can often be benign conditions like pearly penile papules or Fordyce spots, it is essential to monitor their characteristics and seek medical advice if there are any concerning changes or accompanying symptoms. Regular self-examinations and maintaining good genital hygiene can also help in early detection of any potential issues.

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