Penile Bumps: What You Need to Know - Urology

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Cauliflower Confusion


Hello doctor, I have noticed a protrusion next to the urethral opening on the glans for the past month.
It is not very noticeable when not erect, but it becomes quite prominent during an erection.
What could this be? It hasn't seemed to grow or multiply over the past month.

876, 20~29 year old female. Ask Date: 2015/11/03

Dr. Xu Weikai reply Urology


Hello, I also don't know.
A diagnosis can only be made by examining the actual lesions.
If you're concerned, it's best to seek medical attention.
If you're feeling shy, you can take a photo and bring your phone to the clinic for the doctor to review.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; it's essential to visit a healthcare facility for proper evaluation.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/11/03

More Info


When it comes to penile bumps, it's essential to approach the situation with caution and a clear understanding of what these bumps could signify. Based on your description, you have noticed a protrusion near the glans (the head of the penis) that becomes more prominent during an erection. Here’s a breakdown of what you might be experiencing and what steps you should consider.


Possible Causes of Penile Bumps
1. Pearly Penile Papules: These are small, harmless bumps that often appear around the corona of the glans. They are common and typically do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that are sebaceous glands without hair follicles. They are normal anatomical variations and are not a cause for concern.

3. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps. They may be raised or flat and can vary in size. If you suspect this, it’s crucial to see a healthcare provider for diagnosis and potential treatment.

4. Sebaceous Cysts: These are small lumps that can occur when sebaceous glands become blocked. They are usually harmless but can become inflamed or infected.

5. Folliculitis: This is an inflammation of the hair follicles that can cause small red bumps. It can be caused by irritation, infection, or blockage.

6. Other Conditions: Less commonly, bumps can be associated with conditions such as molluscum contagiosum, herpes, or even penile cancer. However, these are less likely, especially if the bump has not changed in size or appearance over the past month.


What to Do Next
Given that the bump has not changed in size or number over the past month, it is likely benign, especially if it is not causing any discomfort or other symptoms. However, it is still essential to take the following steps:
1. Monitor the Bump: Keep an eye on the bump for any changes in size, color, or texture. If it becomes painful, starts to bleed, or changes in any significant way, seek medical advice promptly.

2. Consult a Healthcare Provider: The best course of action is to consult a urologist or a healthcare provider who specializes in male reproductive health. They can perform a physical examination and may recommend tests if necessary to rule out any serious conditions.

3. Avoid Self-Diagnosis: While it’s tempting to search for answers online, self-diagnosis can lead to unnecessary anxiety or misinterpretation of symptoms. A healthcare professional can provide a definitive diagnosis.

4. Practice Safe Sex: If you are sexually active, using protection can help prevent sexually transmitted infections (STIs) that could cause bumps or lesions.


Conclusion
In summary, while the bump you are experiencing is likely benign, it is crucial to monitor it and consult a healthcare provider for a thorough evaluation. Early diagnosis and treatment can help alleviate any concerns and ensure that you maintain good sexual health. Remember, your health is paramount, and seeking professional advice is always the best approach when it comes to changes in your body.

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