White Bumps on the Penis: Causes and Treatment Options - Urology

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Hello! Recently, I had an intimate encounter with a girl, and a day or two later, I suddenly developed a rash on the glans, peeling skin, and small white bumps resembling little flesh balls around the corona.
I visited a doctor a few days ago who prescribed oral medication and an ointment.
The rash and peeling on the glans have disappeared, but the bumps around the corona are still present.
Should I get a blood test, or should I continue applying the medication and rest while observing the situation?

A Bin, 20~29 year old female. Ask Date: 2016/02/18

Dr. Xu Weikai reply Urology


A-bin: Hello, may I consult with a clinical physician? After all, diagnosis relies on visual examination.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses can only serve as a reference; if necessary, it is still important to seek medical care at a healthcare facility.
This message is a response from Dr.
Hsu Wei-kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/18

More Info


When it comes to understanding white bumps on the penis, it's essential to consider various potential causes and treatment options. Based on your description, it seems you may be experiencing a condition that could be related to a sexually transmitted infection (STI), a fungal infection, or a benign skin condition.
Firstly, the appearance of red rashes and peeling skin on the glans (the head of the penis) can often be associated with conditions such as balanitis, which is inflammation of the glans, often due to irritation, infection, or poor hygiene. The white bumps you mentioned could be a sign of several conditions, including pearly penile papules, which are harmless and common anatomical variations, or they could indicate a more serious condition such as genital warts caused by the human papillomavirus (HPV).

Given that you have already seen a doctor and received oral medication and topical ointments, it is a positive step towards addressing the symptoms. If the redness and peeling have resolved, that suggests the treatment is effective. However, the persistence of the white bumps warrants further evaluation.
Here are some considerations regarding your situation:
1. Observation: If the white bumps are not causing pain, itching, or any other discomfort, you might consider observing them for a short period. Sometimes, benign conditions can resolve on their own.

2. Follow-Up with Your Doctor: Since you have already consulted a physician, it would be wise to follow up with them regarding the white bumps. They may recommend a physical examination or additional tests to determine the exact nature of the bumps.

3. Blood Tests: If there is a concern about STIs, your doctor may suggest blood tests to rule out infections such as syphilis, HIV, or herpes. These tests can provide peace of mind and help guide further treatment if necessary.

4. Topical Treatments: Continue using any prescribed topical treatments as directed by your healthcare provider. If the bumps are due to a fungal infection or irritation, topical antifungal or steroid creams may be beneficial.

5. Avoid Irritants: During this time, avoid any potential irritants, such as harsh soaps, lotions, or sexual activity until you have a clearer understanding of the condition.

6. Hygiene: Maintain good genital hygiene by gently cleaning the area with mild soap and water, and ensure it is thoroughly dried afterward. This can help prevent further irritation or infection.

7. Consult a Specialist: If the condition does not improve or if you have concerns about the nature of the bumps, consider consulting a dermatologist or a urologist who specializes in male genital health.

In summary, while the initial treatment seems to have addressed some of your symptoms, the white bumps require further evaluation. Monitoring the situation, maintaining good hygiene, and following up with your healthcare provider will be crucial steps in managing your condition effectively. Always prioritize open communication with your healthcare provider about any changes or concerns you may have.

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