“Pearly Penile Papules” & “Fordyce spots”
Hello young man,
Thanks for your swift follow up. I can understand your concern for the problem over the penile area. It is really distressing for a man to have anything unusual on genital area.
Now getting a clear information for the concern of bead like rash and thoroughly analyzing the picture along with the history - To begin with let me reassure you by the most important thing that you do not have any kind of sexually transmitted disease
including herpes, Gonorrhea
and Chlamydia, warts, HIV or syphilis
or any other major dermatological problem. This is quite evident by all the tests done and which came negative.
The spots on the rim of your penis are “Pearly Penile Papules” and spots on the under-surface of penis are “Fordyce spots”. Both of these are simple, benign and usual normal condition of the penile area.
The Pearly Penile Papules are small, pearly or flesh-colored, smooth, dome-topped bumps situated around the corona or sulcus of the glans. Fordyce spots are pinhead size or slightly larger bumps present over mainly the under surface of the penis i.e. on the frenulum
Basically both of these are proliferation of the normal oil glands which are present over this area. These are totally asymptomatic (without any problem) and are most commonly confused with genital warts in there initial course of appearance. A close examination is the must to differentiate one from another. There is no need of any treatment in this condition as it is totally normal condition. If at all some person are panicky then we do remove these with radiofrequency ablation
Looking at the picture in detail, the closest possibility is of “Pearly Penile Papules” & “Fordyce spots” only. By puling of skin, it makes the foreskin stretched and therefore both of these become more prominent on stretching of the skin.
In my clinical practice I quite often see your kind of cases where after an incidence we start perceiving different kind of symptoms such as pain, burning, frequency of urination, testicular pain
and many more related symptoms. All these are vague symptoms and are not related to any kind of Sexually Transmitted Diseases.
In your case it was only brief oral sex which has the least possibility of any type of Sexually Transmitted Diseases. Therefore there is no need of any type of investigations too.
So relax yourself and in my opinion there is no need to visit any specialist including urologist
or anybody else.
You will perceive the vague symptoms till the time you have the anxiety state related to the incidence. That is why I am again reassuring you that your problem is not related to any Sexually Transmitted Diseases and is totally a normal condition which most of males have.
I hope the information will help you. I will be glad to answer any further queries or if not then can close the discussion and rate the answer.
Dr Sanjay Kumar Kanodia
(MD- Dermatology & Sexually Transmitted Diseases)