and Treating Red Bumps on the Penis: A Guide - Urology

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Penile issues


Hello doctor, I recently noticed small red bumps at the tip of my foreskin that are itchy, and it hurts when I touch the area near the coronal sulcus.
It also hurts when I walk.
What should I do?

Niming, 10~19 year old female. Ask Date: 2015/11/24

Dr. Li Yilun reply Urology


Itching of the penis and the appearance of small red spots on the glans may indicate early changes associated with some form of skin inflammation.
A clinical evaluation, including visual inspection and palpation, is necessary to determine the potential causes of these skin changes.
Other factors may be related to hygiene practices, dermatitis, or allergic skin conditions.
Additionally, there may be a correlation with diabetes; however, the condition can vary significantly among different patients.
It is important to note that a simple description cannot provide a definitive diagnosis.
Therefore, if symptoms do not improve or worsen, it is strongly recommended to seek consultation and examination from a qualified physician to avoid any delay in treatment.
Physicians typically require a thorough medical history, visual examination, palpation, and possibly additional tests to establish a diagnosis and treatment plan.
If you are experiencing these symptoms, it is advisable to consult a dermatologist or urologist for evaluation and treatment.

Reply Date: 2015/11/24

More Info


When it comes to red bumps on the penis, particularly around the glans and the corona, there are several potential causes that could be at play. Given your symptoms of itching and pain, it is crucial to approach this issue with care and seek appropriate medical advice. Here’s a comprehensive guide to understanding and treating this condition.


Possible Causes
1. 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.

2. Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial infection. It can lead to red, itchy bumps that may be painful when touched.

3. Contact Dermatitis: Allergic reactions to soaps, lotions, or latex condoms can cause red, itchy bumps. Identifying and avoiding the irritant is key to treatment.

4. Sexually Transmitted Infections (STIs): Conditions such as herpes or genital warts can present as red bumps or lesions. These often require specific treatments and should be evaluated by a healthcare provider.

5. Balanitis: This is an inflammation of the glans penis, often due to poor hygiene, infections, or irritants. Symptoms can include redness, swelling, and pain.

6. Fungal Infections: Yeast infections can also cause red bumps and itching. This is more common in individuals with diabetes or those who are immunocompromised.


Recommended Actions
1. Consult a Healthcare Provider: The most important step is to see a healthcare professional, preferably a dermatologist or urologist. They can perform a physical examination and may recommend tests to determine the exact cause of your symptoms.

2. Avoid Irritants: Until you can see a doctor, avoid using any new soaps, lotions, or other products on the genital area. Stick to mild, unscented products.

3. Maintain Hygiene: Keep the area clean and dry. Gently wash with warm water and mild soap, and ensure that you dry the area thoroughly after bathing.

4. Over-the-Counter Treatments: If itching is severe, you might consider using an over-the-counter hydrocortisone cream to reduce inflammation and itching. However, this should be used sparingly and not for prolonged periods without medical advice.

5. Avoid Sexual Activity: Until you have a clear diagnosis, it is advisable to refrain from sexual activity to prevent potential transmission of an STI and to avoid further irritation.

6. Follow-Up: If the bumps persist or worsen, follow up with your healthcare provider. They may prescribe topical or oral medications depending on the diagnosis.


Conclusion
Red bumps on the penis can arise from various causes, some benign and others requiring medical intervention. Given your symptoms of itching and pain, it is essential to seek professional medical advice for an accurate diagnosis and appropriate treatment. Early intervention can help alleviate discomfort and prevent potential complications. Remember, maintaining good hygiene and avoiding irritants can help manage symptoms until you receive a definitive diagnosis.

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