What should I do if there are two or three small pustules on the penis foreskin that don't hurt or itch?

Patient's question:

There have always been small white flesh spots on my penis (I had them since I was very young, back then I hadn't had any sexual activity, and I suspected they were caused by constant sweating in my pants). There was no pus, but last Friday night, after I had sexual activity (with a condom), when I examined it carefully yesterday morning, I found three small pustules with yellowish-white pus. One of them was red, so I squeezed and popped it, squeezing out the pus, just like a pimple on the face—it didn't hurt or itch. Then I took medication, but it didn't help. Below is a picture. Did I get a sexually transmitted disease?

Doctor's answer:

There are several fibrotic protrusions below the skin on the penis, which are red and have pustules. It is considered to be folliculitis that has been infected and inflamed. Based on your condition, it is recommended to always maintain cleanliness and hygiene of the lower body, frequently wash and change underwear and socks. The affected area can be cleaned with hydrogen peroxide to remove pus, disinfected with povidone-iodine, and then apply erythromycin ointment. If the foreskin is long, the condition is prone to recurrence, requiring long-term medication. Additionally, for male patients, it is important to actively seek medical treatment from professional and reputable hospitals and consider treatment based on examination results. Also, pay attention to quitting smoking and drinking alcohol.

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