White Bumps on the Glans: Causes and Treatment Options - Urology

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Understanding white bumps on the glans can be concerning, especially when accompanied by symptoms like peeling skin or changes in appearance. Based on your description, it seems you have been previously diagnosed with balanitis (inflammation of the glans), and you are now noticing white bumps and peeling skin. Let's break down the potential causes and treatment options.


Possible Causes
1. Pearly Penile Papules: These are small, benign white bumps that can appear around the glans. They are common and not a sign of any disease. They usually do not require treatment unless they cause cosmetic concerns.

2. Balanitis: This is an inflammation of the glans, often caused by poor hygiene, irritation, or infections (bacterial or fungal). Symptoms can include redness, swelling, and sometimes white patches or peeling skin. Treatment typically involves maintaining good hygiene and using topical antifungal or antibacterial medications as prescribed.

3. Fordyce Spots: These are small, painless, pale bumps that are actually sebaceous glands. They are harmless and do not require treatment.

4. Lichen Sclerosus: This is a chronic skin condition that can cause white patches and changes in the skin texture. It may require treatment with topical steroids.

5. Sexually Transmitted Infections (STIs): Certain STIs can cause changes in the appearance of the genital area, including warts (caused by HPV) or other lesions. If there is any concern about STIs, it is crucial to get tested.

6. Contact Dermatitis: This can occur due to irritation from soaps, lotions, or other products. Identifying and avoiding the irritant can help alleviate symptoms.


Treatment Options
1. Hygiene: Maintaining proper hygiene is essential. Gently wash the area with mild soap and water, and ensure it is dried properly.

2. Topical Treatments: Depending on the diagnosis, your doctor may prescribe topical antifungal or antibacterial creams. For conditions like lichen sclerosus, topical steroids may be recommended.

3. Circumcision: If you have phimosis (tight foreskin) and recurrent infections or inflammation, circumcision may be advised. This procedure can help prevent future issues and improve hygiene.

4. Monitoring: If the bumps are determined to be pearly penile papules or Fordyce spots, no treatment is necessary. However, regular monitoring is essential to ensure no changes occur.

5. Consultation with a Specialist: If symptoms persist or worsen, it may be beneficial to consult a dermatologist or urologist for further evaluation and management.


Conclusion
While the symptoms you describe could be benign, it is essential to have a thorough evaluation by a healthcare professional to rule out any serious conditions. If you are experiencing discomfort or have concerns about the appearance of your genitals, discussing these openly with your doctor is crucial. They can provide tailored advice based on a physical examination and possibly recommend further tests if needed. If circumcision is suggested, weigh the benefits and risks with your healthcare provider, especially considering your personal circumstances and family planning.