There are white spots on the glans penis, but it doesn’t hurt or itch. What’s going on?

White spots on the glans that are neither painful nor itchy may be related to factors such as balanitis, vitiligo, lichen planus, lichen sclerosus, or keratosis alba. It is recommended to seek medical treatment promptly for a clear diagnosis, and the doctor will provide targeted treatment according to the specific situation.

1. Balanitis

Balanitis may be caused by fungal or bacterial infection and usually manifests as local white spots, erythema or scaling on the glans penis, and some patients may be accompanied by mild itching. Treatment requires the use of antifungals such as miconazole nitrate cream or antibiotics such as mupirocin ointment as directed by your doctor. It is necessary to keep the perineum clean and dry daily and avoid excessive cleaning.

2. Vitiligo

Vitiligo is a skin depigmentation disease. White spots with clear borders may appear on the glans area, with a smooth surface without scales. May be related to autoimmune abnormalities. For treatment, topical tacrolimus ointment or fluticasone propionate cream can be used as directed by the doctor. In severe cases, phototherapy must be combined. The disease usually does not affect health but requires sun protection.

3. Lichen planus

Lichen planus is a chronic inflammatory skin disease. White mesh-like plaques or papules may appear on the glans area, and occasionally there may be a slight stinging sensation. The cause may be related to immune abnormalities. Treatment requires the use of glucocorticoids such as halometasone cream or calcineurin inhibitors such as pimecrolimus cream as directed by your doctor.

4. Lichen sclerosus

Lichen sclerosus is more common in the genital area and manifests as porcelain-white atrophic patches, which may be accompanied by hardening of the skin in the later stages. The disease may be related to genetic or endocrine factors. Treatment requires the use of powerful glucocorticoids such as clobetasol propionate cream as directed by your doctor. In severe cases, surgery may be required to loosen adhesions.

5. White keratosis

Keratosis alba is a benign lesion that often causes white thickened patches on the glans due to chronic irritation. It may be related to local friction or recurrent inflammation. Treatment requires removing the triggers, using retinoic acid cream as directed by the doctor to promote keratin metabolism, and regular follow-up visits to observe changes.

Wear loose cotton underwear every day to reduce friction and avoid using irritating lotions to clean the perineum. Pay attention to supplementing vitamin A, vitamin E and other nutrients in your diet to help skin repair. If the area of ​​white spots expands, ulcerates, or is accompanied by other symptoms, you should immediately see a dermatology or urology department for pathological examination to rule out malignant lesions.