White Bumps on the Penis: What You Need to Know - Urology

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The penis appears abnormal?


I have been busy with exams for a while, so I haven't been pulling back my foreskin to wash.
Recently, I noticed a small white growth near the coronal sulcus of the glans.
When I pulled it back to clean, I found quite a bit of smegma.
I read online that this could be related to penile cancer.
Can you help me understand this?

Xiao Tian, 10~19 year old female. Ask Date: 2015/12/23

Dr. Xu Weikai reply Urology


Hello, seeing is believing, but a diagnosis requires actual observation.
However, it is important to enhance cleanliness: 1.
Clean the glans several times a day.
2.
It is best to clean any urine residue after each urination; washing is preferable, but if inconvenient, simply patting dry is sufficient.
3.
Cleaning method: use only cool, clean water.
Absolutely avoid soap, body wash, or any cleaning agents.
If you feel dryness, you may apply petroleum jelly, baby oil, or a gentle, non-irritating moisturizer locally.
4.
If this occurs frequently, there may be other underlying issues, and it is advisable to seek professional medical advice.
Online responses should only be used as a reference; if necessary, you should visit a medical facility.
This message is from Dr.
Hsu Wei-kai, Chief of Urology at Taitung Hospital, Ministry of Health and Welfare, who cares about your health.

Reply Date: 2015/12/23

More Info


When it comes to the appearance of white bumps on the penis, it is essential to approach the situation with a clear understanding of potential causes and the importance of seeking medical advice. The white bumps you described could be a result of several benign conditions, but they can also be indicative of more serious issues, including infections or even precursors to cancer.

One common cause of white bumps in the genital area is pearly penile papules, which are small, harmless growths that typically appear around the corona of the glans (the head of the penis). These are normal anatomical variations and do not require treatment unless they cause discomfort or concern. Another possibility is the presence of sebaceous cysts, which are small, painless lumps filled with sebum that can occur anywhere on the body, including the genital area.

However, if the bumps are accompanied by other symptoms such as pain, itching, or changes in the skin's appearance (such as ulceration or bleeding), it is crucial to consult a healthcare professional. Conditions such as genital warts, which are caused by the human papillomavirus (HPV), can also present as white or flesh-colored bumps. These require medical evaluation and management due to their contagious nature and potential association with cancer.

In your case, the accumulation of smegma (a combination of dead skin cells, oils, and other bodily fluids) due to infrequent washing can lead to irritation and the formation of bumps. It is essential to maintain proper hygiene by regularly retracting the foreskin and cleaning the area to prevent the buildup of smegma, which can lead to infections or inflammation.

While the internet can provide a wealth of information, it can also lead to unnecessary anxiety, especially regarding serious conditions like penile cancer. Penile cancer is rare, and the presence of white bumps alone is not sufficient for a diagnosis. Risk factors for penile cancer include smoking, HPV infection, and poor hygiene, among others. If you have concerns about the possibility of cancer, it is best to discuss them with a healthcare provider who can perform a thorough examination and, if necessary, conduct further tests.

In summary, while white bumps on the penis can be benign, it is crucial to monitor any changes and seek medical advice if you experience discomfort or if the bumps persist. Regular hygiene practices are essential for maintaining genital health, and if you have any doubts or concerns, do not hesitate to reach out to a healthcare professional for guidance and reassurance. Early intervention can often lead to better outcomes, so it is always better to err on the side of caution when it comes to your health.

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