What's wrong with the lumps on the foreskin?

The appearance of fleshy bumps on the foreskin may be related to factors such as pearl rash, condyloma acuminata, sebaceous ectopia, sebaceous cysts, allergic reactions and other factors. It is recommended to seek medical treatment promptly for a clear diagnosis and avoid self-treatment.

1. Pearl rash

Pearly rash is a common benign lesion of the male genitals, manifesting as white or light red papules arranged neatly around the coronal groove of the foreskin. It may be related to poor local hygiene or abnormal physiological development, and usually does not require treatment. If it affects the appearance or is accompanied by discomfort, laser or cryotherapy may be considered.

2. Genital warts

Caused by human papillomavirus infection, it appears as cauliflower- or papillary growths that have a rough surface and may be itchy. It is mainly transmitted through sexual contact and needs to be confirmed by acetic acid white test or pathological examination. Treatment options include imiquimod cream, podophyllotoxin tincture and other drugs, or carbon dioxide laser removal.

3. Ectopia of sebaceous glands

Caused by abnormal development of sebaceous glands, it appears as yellowish or skin-colored granular protrusions, commonly found on the inside of the foreskin. It is a normal physiological variation and usually does not require special treatment. If the infection causes redness, swelling and pain, topical erythromycin ointment can be used to fight inflammation.

4. Sebaceous cyst

Formed by a blocked sebaceous duct, the cyst is soft and may squeeze out white secretions. Redness, swelling, heat and pain may occur during secondary infection. Smaller cysts can be observed, while larger cysts require surgical removal. In case of combined infection, cefaclor capsules can be taken orally to control inflammation.

5. Allergic reaction

Red pimples with itching may appear after contact with allergenic substances such as condoms and detergents. It is necessary to check for allergens and avoid contact. When symptoms are obvious, oral loratadine tablets can be taken to relieve them. It is recommended to choose hypoallergenic care products for daily use and avoid excessive cleaning.

Daily care should be taken to keep the perineum clean and dry, and choose breathable cotton underwear to avoid scratching and irritating the skin. Using condoms during sex reduces the risk of infection. If the pimple continues to enlarge, ruptures and bleeds, or is accompanied by increased secretions, you must immediately seek medical attention from a dermatology or urology department. The nature of the pimple must be clarified through histopathological examination before targeted treatment. It is not recommended to use corrosive drugs or folk remedies on your own to avoid aggravating the condition.