What's wrong with the little white spot on the glans?

The appearance of small white spots on the glans may be related to factors such as pearly penile papules, balanitis, condyloma acuminata, sebaceous heterotopia or genital herpes, which can be improved through local cleaning, drug application, laser treatment, etc.

1. Pearly penile papules

Pearly penile papules are benign lesions that may be related to poor local hygiene or abnormal physiological development. They appear as small white papules neatly arranged in the coronal sulcus of the glans penis, which are painless and itchy. Usually no special treatment is needed, just keep the perineum clean and dry. If it affects the appearance, you can use cryotherapy or laser removal as directed by your doctor.

2. Balanitis

Balanitis is often caused by bacterial or fungal infection and is accompanied by symptoms such as redness, swelling, and increased discharge. It may be related to Candida albicans infection. At this time, erythema or scaling can be seen around the small white spots. Treatment requires the use of antifungal drugs such as compound ketoconazole cream and miconazole nitrate cream as directed by the doctor. When combined with bacterial infection, erythromycin ointment can be used in combination.

3. Genital warts

Genital warts are caused by human papillomavirus infection. They initially appear as single or multiple white wart-like protrusions, which may later merge into a cauliflower-like appearance. The diagnosis needs to be confirmed by an acetic acid white test. Treatment can be topical podophyllotoxin tincture or carbon dioxide laser removal. Other sexually transmitted diseases need to be checked at the same time.

4. Ectopia of sebaceous glands

Sebaceous heterotopia is small yellow or white spots formed by abnormal distribution of sebaceous glands on the glans mucosa. It is related to changes in hormone levels and has a granular feel to the touch. Generally no treatment is required to avoid excessive friction and stimulation. If there is co-infection, fusidic acid cream can be used for a short period of time.

5. Genital herpes

Genital herpes initially appears as clusters of small blisters, which rupture to form white ulcers with burning pain. It is caused by herpes simplex virus type 2 infection and is easy to relapse. In the acute stage, oral acyclovir tablets and topical penciclovir cream are required, and sexual life must be avoided to prevent infection.

It is recommended to wash the glans with warm water every day and avoid using irritating lotions. Choose breathable cotton underwear to reduce local friction. If the white spots continue to enlarge, rupture, exudate, or are accompanied by painful urination, you must go to a dermatology and venereology department in time. Sexual intercourse is prohibited during treatment, and sexual partners need to be checked simultaneously. Pay attention to the changes in skin lesions on a daily basis and avoid squeezing or using folk remedies.