What is the cause of a penile bump?

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Last updated: May 13, 2025View editorial policy

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Differential Diagnosis for Penis Bump

  • Single most likely diagnosis
    • Genital wart (caused by Human Papillomavirus): This is a common condition that can cause bumps on the penis, often due to sexually transmitted infection.
  • Other Likely diagnoses
    • Fordyce spots: These are small, yellowish or white bumps on the penis that are caused by the presence of sebaceous glands and are usually harmless.
    • Pearly penile papules: These are small, dome-shaped bumps that occur around the corona of the penis and are a normal anatomical variation.
    • Herpes simplex virus (HSV) infection: This can cause painful bumps or blisters on the penis, often accompanied by other symptoms like itching, burning, or fever.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
    • Penile cancer: Although rare, any unusual or persistent bump on the penis should be evaluated for the possibility of cancer, especially in older men or those with a history of HPV infection.
    • Syphilis: This sexually transmitted infection can cause a variety of symptoms, including a painless bump or sore on the penis, and if left untreated, can lead to serious complications.
  • Rare diagnoses
    • Lichen planus: A chronic inflammatory condition that can cause bumps, itching, or burning on the penis, although this is less common.
    • Psoriasis: This autoimmune condition can cause red, scaly patches or bumps on the penis, among other areas of the body.
    • Keratoacanthoma: A rare, benign tumor that can appear as a bump on the penis, often resembling a small, dome-shaped nodule.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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