What does it mean when there are small bumps on the glans?

Small bumps on the glans may be related to conditions such as pearly penile papules, folliculitis, genital warts, ectopic sebaceous glands, or allergic reactions. It is recommended to seek medical treatment promptly for a clear diagnosis and avoid self-treatment.

1. Pearly penile papules

Pearly penile papules are common benign lesions of male genitals, which appear as small white or light red papules arranged in rows around the coronal sulcus of the glans penis. It may be related to poor local hygiene or abnormal physiological development. Usually no treatment is required, but if the appearance is affected, laser or cryotherapy may be considered. It is necessary to keep the perineum clean and dry daily to avoid excessive friction and irritation.

2. Folliculitis

Folliculitis is caused by bacterial infection of hair follicles, and a red papule with pain or pus may appear on the glans. It is common in people with excessive sweating, poor hygiene or low immunity. Topical antibiotic ointments such as mupirocin ointment and fusidic acid cream can be used as directed by the doctor. In severe cases, oral cefuroxime axetil tablets are required. Avoid scratching and change underwear frequently.

3. Genital warts

Genital warts are a sexually transmitted disease caused by human papillomavirus infection and appear as cauliflower-shaped or papillary growths. It is contagious and needs to be removed by freezing, laser or medications such as podophyllotoxin tincture. After diagnosis, sexual life should be suspended, and sexual partners should be checked simultaneously. The recurrence rate is high and regular review is required.

4. Ectopia of sebaceous glands

Ectopia sebaceum is small yellow particles formed by the proliferation of sebaceous glands in abnormal areas, which are soft and painless to touch. It is a physiological variation and generally does not require treatment. If redness and swelling occur due to infection, topical erythromycin ointment can be used. Avoid using harsh lotions to clean the affected area.

5. Allergic reaction

Contact with condoms, detergents or clothing materials may trigger allergies, manifested as red papules on the glans penis with itching. It is necessary to check for allergens and avoid contact. Desonide cream can be used in the short term to relieve symptoms. People with severe allergies need to take oral loratadine tablets. It is recommended to choose pure cotton underwear and hypoallergenic toiletries.

Pay attention to daily cleaning of the perineum, avoid using alkaline soap for cleaning, and wear breathable cotton underwear to reduce friction. If the pimple continues to enlarge, ruptures, or is accompanied by increased secretions, pain and other symptoms, you must seek immediate medical attention from a dermatologist or urologist. It is prohibited to squeeze or use folk remedies on your own to avoid secondary infection or delay in treatment.