Pearly penile papules?
Hello doctor, today I noticed a red, swollen bump near the base of my foreskin that feels and looks like a pimple.
Should I be particularly concerned about this, or do I need to see a doctor? If it is a pimple, should I apply medication or just let it heal on its own? Thank you.
Niming, 20~29 year old female. Ask Date: 2016/02/05
Dr. Xu Weikai reply Urology
Hello, you may have an infection.
If it does not continue to worsen, you can observe it for 2-3 days.
However, if you experience significant pain or fever, it is advisable to seek medical attention as soon as possible.
If there are any unclear points, feel free to ask again for further discussion and research.
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 well-being.
Reply Date: 2016/02/05
More Info
When you notice a red bump on the foreskin, especially one that resembles a pimple, it can understandably cause concern. While many such bumps can be benign, it’s essential to approach this situation with caution and awareness of potential underlying issues.
First, let's consider the possible causes of a red bump on the foreskin. Common benign conditions include:
1. Pearly Penile Papules: These are small, harmless bumps that typically appear around the corona of the glans. They are normal anatomical variations and do not require treatment.
2. Folliculitis: This is an inflammation of the hair follicles, which can occur due to irritation, infection, or blockage. It may present as red, swollen bumps that can resemble pimples.
3. Fordyce Spots: These are small, painless, pale bumps that are actually enlarged sebaceous glands. They are harmless and do not require treatment.
4. Cysts: Sebaceous cysts can develop in the genital area and may appear as small lumps. They are usually harmless but can become infected.
5. Infections: Conditions such as herpes or other sexually transmitted infections (STIs) can present with red bumps or sores. If the bump is painful, itchy, or accompanied by other symptoms (like discharge or fever), it’s crucial to seek medical attention.
6. Allergic Reactions or Irritation: Sometimes, irritation from soaps, lotions, or even friction can cause localized inflammation and bumps.
Given these possibilities, it’s essential to monitor the bump closely. Here are some guidelines on what to do next:
- Observe: Keep an eye on the bump for any changes in size, color, or symptoms. If it resolves on its own within a few days, it may not be a cause for concern.
- Avoid Irritation: Refrain from picking at or squeezing the bump, as this can lead to infection or further irritation.
- Hygiene: Maintain good hygiene in the genital area, using mild soap and water. Avoid harsh chemicals or scented products that may cause irritation.
- Consult a Doctor: If the bump persists for more than a week, grows larger, becomes painful, or is accompanied by other symptoms (such as discharge, fever, or changes in urination), it’s advisable to see a healthcare provider. A doctor can perform a physical examination and may recommend tests if necessary.
- Treatment: If the bump is diagnosed as a benign condition, treatment may not be necessary. However, if it’s an infection or another condition requiring intervention, your doctor will provide appropriate treatment options.
In conclusion, while many red bumps on the foreskin can be benign and self-limiting, it’s essential to remain vigilant and consult a healthcare professional if you have any concerns. Early evaluation can help rule out more serious conditions and provide peace of mind. Remember, your health is paramount, and it’s always better to err on the side of caution when it comes to changes in your body.
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