a 2mm Red Bump on the Glans: Is It Normal?

Glans mass

I have phimosis but have not undergone circumcision.
I recently learned that I need to retract the foreskin for cleaning.
During cleaning, I noticed a circular bump about 2mm in diameter on the right side of the glans.
It is dark red, almost black, and there is no tenderness when pressed.
It has not changed in the past six months and maintains a regular circular shape.
Is this normal?

bee, 20~29 year old female. Ask Date: 2002/07/24

Dr. Liu Jianting reply Urology

2mm, that small? How did you notice that? It might be a change due to long-term lack of cleaning.
Please visit a urologist for a thorough examination.

Reply Date: 2002/07/24

More Info

When it comes to a 2mm red bump on the glans (the head of the penis), it’s understandable to feel concerned, especially if you have a history of phimosis (tight foreskin) and have only recently started cleaning the area properly. Here’s a breakdown of what you might be experiencing and some important considerations.

Firstly, the presence of a small, round, dark red bump that has remained unchanged for six months and is not painful is often not a cause for immediate concern. Many men can develop benign skin lesions on the glans, such as pearly penile papules, which are small, dome-shaped bumps that are normal anatomical variations. These are harmless and do not require treatment. However, other possibilities include sebaceous cysts, which are small lumps filled with oil and dead skin cells, or even a harmless vascular lesion.

That said, it’s crucial to differentiate between benign conditions and those that may require medical attention. Here are some key points to consider:
1. Characteristics of the Bump: The fact that the bump is dark red and has not changed in size or shape over six months is reassuring. If it were to change in color, size, or become painful, that would warrant further investigation.

2. Hygiene and Phimosis: Since you mentioned having phimosis, it’s important to maintain proper hygiene. Accumulation of smegma (a combination of dead skin cells, oils, and moisture) can lead to irritation or infections. Regular cleaning can help prevent these issues, but if you experience any discomfort or unusual symptoms, consulting a healthcare provider is advisable.

3. Potential Causes: While benign conditions are common, it’s also important to be aware of other potential causes. For instance, sexually transmitted infections (STIs) can sometimes present as bumps or lesions on the genital area. If you have had unprotected sexual contact, it would be wise to get tested for STIs.

4. When to Seek Medical Advice: If you notice any changes in the bump, such as increased size, pain, bleeding, or if you develop other symptoms (like discharge or itching), you should consult a healthcare professional. A dermatologist or urologist can provide a thorough examination and may perform a biopsy if necessary to rule out any serious conditions.

5. Self-Examination: Regular self-examination of the genital area is a good practice. Familiarizing yourself with what is normal for your body can help you identify any changes early on.

In conclusion, while a 2mm dark red bump on the glans that has remained unchanged and is not painful is likely benign, it’s essential to monitor it and maintain good hygiene practices. If you have any doubts or if the bump changes, do not hesitate to seek medical advice. Your health and peace of mind are paramount, and a healthcare professional can provide personalized guidance based on a physical examination.

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