Painful Bumps on the Penis: Causes and Concerns - Urology

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When it comes to painful bumps on the penis, there are several potential causes, and understanding these can help alleviate concerns and guide appropriate action. Based on your description, it sounds like you have a painful bump on the left side of the shaft of your penis that resembles an unripe pimple. Additionally, you mentioned having multiple small white spots on your penis, which a doctor previously identified as follicular or Fordyce spots, indicating they are generally harmless.

The bump you are experiencing could be due to a few different factors:
1. Folliculitis: This is an inflammation of the hair follicles, which can occur anywhere on the body, including the genital area. It can present as red, swollen bumps that may be painful to the touch. This condition is often caused by bacteria or irritation from shaving or friction.

2. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the penis. They are normal anatomical variations and do not require treatment.

3. Cysts: Sebaceous cysts can develop in the genital area and may feel like small lumps under the skin. They are usually painless unless they become inflamed or infected.

4. Sexually Transmitted Infections (STIs): Certain STIs can present with bumps or lesions on the genital area. For example, herpes can cause painful blisters, while genital warts (caused by the human papillomavirus) can appear as small, flesh-colored or white bumps.

Given your history of unprotected oral sex, it is essential to consider the risk of STIs. While the risk of transmission through oral sex is generally lower than through vaginal or anal intercourse, it is not negligible. Conditions such as herpes, gonorrhea, and syphilis can be transmitted through oral sex.
If you are concerned about the possibility of an STI, it is advisable to seek medical evaluation. A healthcare provider can perform a physical examination and may recommend tests to rule out infections. Early diagnosis and treatment are crucial for managing STIs effectively.

In the meantime, here are some recommendations:
- Avoid Irritation: Refrain from any activities that may irritate the area, such as vigorous sexual activity or excessive friction from clothing.

- Maintain Hygiene: Keep the area clean and dry. Use mild soap and avoid harsh chemicals or fragrances.

- Monitor Symptoms: Keep an eye on the bump. If it changes in size, color, or if you develop additional symptoms (such as fever, discharge, or increased pain), seek medical attention promptly.

Regarding your concern about the small white spots, if they were previously assessed by a doctor and deemed harmless, it is likely they are not a cause for concern. However, if you notice any changes or new symptoms, it would be wise to follow up with a healthcare provider.

In conclusion, while the bump you described may not be serious, it is essential to remain vigilant and proactive about your sexual health. If you have any doubts or concerns, do not hesitate to consult a healthcare professional for a thorough evaluation and peace of mind.