What are the white lumps of flesh under the glans?

White flesh particles appearing under the glans may be benign lesions such as pearly penile papules or ectopic sebaceous glands, or may be related to diseases such as condyloma acuminata and sebaceous cysts. The main symptoms include pearly penile papules, ectopic sebaceous glands, condyloma acuminata, sebaceous cysts, fungal infections, etc. It is recommended to seek medical treatment in time for a clear diagnosis.

1. Pearly penile papules

Pearly penile papules are common benign lesions of male genitals. They appear as white or skin-colored small papules arranged regularly around the coronal sulcus of the glans penis, with a diameter of 1-3 mm. They are painless and itchy. It may be related to poor local hygiene or excessive foreskin. Usually no treatment is required, but if it affects the appearance, laser or cryotherapy may be considered. It is necessary to keep the perineum clean and dry daily to avoid excessive friction and irritation.

2. Ectopia of sebaceous glands

Sebaceous heterotopia is yellow or white particles formed by the proliferation of sebaceous glands in abnormal locations. It mostly occurs on the glans and the inner mucosa of the foreskin and is soft to the touch. This lesion is related to changes in hormone levels and is a physiological variation that generally does not require special treatment. Be careful to avoid using irritating lotions. If there is a combined infection, you can use topical antibiotic ointments such as mupirocin ointment.

3. Genital warts

Genital warts are caused by human papillomavirus infection and appear as cauliflower- or papillary growths with a rough surface and may be accompanied by discharge. It is contagious and needs to be removed by freezing, laser or medications such as imiquimod cream. HPV typing testing is required to confirm the diagnosis, sexual intercourse should be prohibited during treatment, and partners need to be checked simultaneously.

4. Sebaceous cyst

Sebaceous cysts are formed due to obstruction of gland ducts and appear as movable round nodules under the skin. If secondary infection occurs, they will become red, swollen and painful. Smaller cysts can be observed, but larger ones or signs of infection require surgical removal. Avoid squeezing yourself, keep the wound clean after surgery, and use erythromycin ointment as directed by your doctor to prevent infection.

5. Fungal infection

Candida albicans infection may cause a white film with erythema or itching on the glans penis, which is common in people with diabetes or low immunity. Diagnosis requires microscopic examination or culture, and treatment can include topical clotrimazole cream or oral fluconazole capsules. You should choose breathable cotton underwear for daily use, avoid sharing towels, and your partners should treat symptoms together.

It is recommended to wash the perineum daily with warm water and avoid using alkaline soaps or over-cleaning. Choose loose, breathable cotton underwear, wash them frequently and dry them in the sun. Reduce the intake of spicy foods, quit smoking and limit alcohol consumption. If the white flesh particles continue to enlarge, rupture, or are accompanied by increased secretions, pain and other symptoms, you must immediately go to a dermatology or urology department. If necessary, perform a pathological examination to rule out malignant lesions. Do not self-medicate or treat the condition without a doctor’s diagnosis.