White Bumps on the Glans: Causes and Treatments - Urology

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The presence of small white bumps on the glans (the head of the penis) can be concerning, but it is important to understand that there are several benign conditions that could explain these symptoms. Based on your description, it sounds like you might be experiencing a common condition known as pearly penile papules or possibly sebaceous cysts.

Pearly Penile Papules: These are small, dome-shaped, white or flesh-colored bumps that typically appear around the corona (the ridge) of the glans. They are completely harmless and are considered a normal anatomical variant. Pearly penile papules are not associated with any pain, itching, or other symptoms, and they do not require treatment unless they cause psychological distress.

Sebaceous Cysts: These are small, non-painful lumps that can occur anywhere on the body, including the genital area. They are formed when sebaceous glands become blocked, leading to the accumulation of sebum (the oily substance produced by these glands). Like pearly penile papules, sebaceous cysts are generally harmless and may resolve on their own. However, if they become inflamed or infected, they may require medical attention.

Other Possible Causes: While the above conditions are the most likely explanations for your symptoms, there are other possibilities that should be considered:
1. Folliculitis: This is an inflammation of the hair follicles that can cause small red or white bumps. It may occur due to irritation, infection, or blockage of the follicles.

2. Fordyce Spots: These are small, painless, pale bumps that are actually enlarged sebaceous glands. They are common and harmless.

3. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small bumps or growths. They may be itchy or uncomfortable, and if you suspect this, it is important to consult a healthcare provider for diagnosis and treatment.

Treatment Options: If the bumps are indeed pearly penile papules or sebaceous cysts, no treatment is necessary. However, if you find them bothersome or if they change in appearance, it is advisable to consult a healthcare provider or a dermatologist. They can provide a proper diagnosis and discuss treatment options if needed. Treatments may include:
- Cryotherapy: Freezing the bumps to remove them.

- Laser therapy: Using laser technology to eliminate the bumps.

- Surgical removal: In some cases, surgical excision may be recommended.

When to Seek Medical Attention: If you notice any changes in the bumps, such as increased size, pain, itching, or if they bleed, it is important to seek medical advice. Additionally, if you have any concerns about sexually transmitted infections (STIs) or other conditions, a healthcare provider can perform appropriate tests and provide guidance.

In summary, while the small white bumps on your glans may be benign, it is always best to consult a healthcare professional for an accurate diagnosis and peace of mind. Regular self-examinations and awareness of any changes in your genital area are important for maintaining sexual health.