Why is there a fleshy ball on my foreskin?

The growth of fleshy balls on the foreskin may be related to factors such as pearl rash, condyloma acuminata, sebaceous heterotopia, sebaceous cyst, balanitis and other factors. Specific symptoms and examinations need to be combined for a clear diagnosis. It is recommended to seek medical treatment promptly and have the doctor evaluate and take targeted treatment measures.

1. Pearl rash

Pearly rash is common around the foreskin frenulum or coronal sulcus. It appears as small white or light red papules, arranged in rows, without pain or itching. It may be related to poor local hygiene or abnormal physiological development. Usually no treatment is needed, just clean the perineum every day. If it affects the appearance, it can be removed by laser or freezing.

2. Genital warts

Genital warts are caused by HPV infection and appear as cauliflower-shaped or papillary growths with a rough surface and may be accompanied by itching or increased secretion. The diagnosis can be confirmed by acetic acid white test or pathological examination. Clinically, podophyllotoxin tincture, imiquimod cream and other drugs are commonly used for local treatment. Severe cases require electrocautery or photodynamic therapy.

3. Ectopia of sebaceous glands

Ectopia sebaceum is small yellow particles formed by the proliferation of sebaceous glands in abnormal areas. They are soft to the touch and mostly occur on the inside of the foreskin. It is a benign disease and generally does not require treatment. Avoid excessive friction or squeezing. If infection occurs, topical erythromycin ointment can be used.

4. Sebaceous cyst

Sebaceous cysts form due to blockage of glands and appear as round swellings under the skin that may be red, swollen and painful. In case of secondary infection, oral administration of cefaclor capsules and mupirocin ointment is required to reduce inflammation. Larger or recurrent lesions require surgical resection.

5. Balanitis

Balanitis may be caused by bacterial or fungal infection, resulting in local erythema, edema or ulcers, and in severe cases, granulomas. It needs to be kept dry and clean. For bacterial infections, it can be soaked in potassium permanganate solution. For fungal infections, it is recommended to apply clotrimazole cream. Recurrent attacks warrant consideration of circumcision.

Daily care should be taken to clean the foreskin and glans with warm water every day and avoid using irritating lotions. Choose breathable cotton underwear, wash it frequently and expose it to the sun for disinfection. Clean up before and after sex and secure your sexual partner to reduce the risk of infection. If the flesh ball enlarges, ruptures, or is accompanied by symptoms such as fever in a short period of time, you must seek medical attention immediately to investigate the possibility of malignant lesions.