This question was answered on Mon 10, May 2010 10:10pm by Dr J Singh

small painless bumps on penis shaft under skin

    
Asked by randalllloyd (Male; 42 ) on Mon 10, May 2010 03:28pm

Underneath the skin on the shaft of my penis just below the ridge of the head... sort of along my circumcision scar on the right side... I have a painless "ridge" of bumps that is fairly thin and about 3/4 of an inch long. You cant see them by looking and you cant really feel them unless I am erect.... but they are very obvious to the touch when I am erect. I dont know how long they could have been there, as I dont often touch myself when erect. They dont hurt, as I mentioned, but they do seem to be increasing is size slightly.

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Answer by Dr J Singh  on Mon 10, May 2010 10:10pm:

Hello, Welcome to the forum and thanks for posting on it. Without examination it is very is very difficult to precisely make a diagnosis but two important possibilities n your case are pearly penile papules and Fordyce spots. Both of these are normal variants on the penis and are harmless. Pearly penile papules are multiple in number, small (about 1-3mm) domelike papules arranged in a row of multiple-grouped lesions along the corona and sulcus of the glans and head of penis. They typically develop in men aged 20 to 40, and presentation may occur in males in their second to fifth decades. Ablation using carbon dioxide laser, electrodesiccation with curettage, cryotherapy and excisional surgery have successfully treated them. Fordyce spots are small, painless, raised, bumps 1 to 3 mm in diameter that may appear on the penis. They are also non-infectious and a natural occurrence on the body. The other possibilities for such small bumps can be lichen nitidus(1-2 mm, discrete and uniform, shiny, flat-topped, pale flesh-colored or reddish-brown papules), lichen planus( papules with smooth or fine scales and arranged in a ring), small cysts, angiokeratomas(purple spots with a thick, warty surface) or genital warts( presents as either small painless, flesh colored bumps or brownish, cauliflower like growths). I suggest you to consult a dermatologist and get the diagnosis confirmed. I hope it helps. Take care and please do keep us posted in case you have any additional doubts. Kind regards. You can find relevant information about this on the following site: http://www.skinsight.com/searchResults/adult_Male_Anogenital.htm

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Comment by Dr.Kokil Mathur on Mon 10, May 2010 10:36pm:
Hi! I completely agree with Dr Anand that the three very likely possibilities are Pearly penile papule, Fordyce spots and genital warts. The first two are diagnosed by clinical examination and the third by a STD panel. PPP does not need any treatment and often disappear with time. However since the lumps are growing in size, this is less likely. Fordyce spots if bleed need to be cauterized. Also possibility of fungal infection should also be looked into. Dr Anand is right in saying that this cannot be diagnosed on net. You need to consult either a urologist or a skin specialist. Please let me know if there is any thing else and do keep me posted. Take care!

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