What are the red growths on the inside of a boy's foreskin?

Patient's question:

I am 23 years old. Since last summer, I noticed what seemed like linear red growths on the inner side of my foreskin and at the lower end of the urethral meatus in the midline of my glans. They have been growing outward more recently. Upon examination, it appears that these linear growths connect between the lower urethral meatus in the midline of the glans and the inner side of the foreskin. Additionally, there seems to be some redness and swelling in the middle of the glans. I have had phimosis since birth, and it has always been this way. I don’t know what this could be or if there is a problem. Please help me, experts~~ Thank you~~!

Doctor's answer:

Genital warts often cause no symptoms, but some patients may experience local pain or itching. The primary lesions initially appear as small, pale red bumps of varying sizes, which can be solitary or clustered. They are moist, soft, and may resemble papillary, cauliflower-like, or vegetable-like elevations, appearing red or dirty gray. The base is often pedunculated, and they are prone to erosion and exudation, bleeding easily upon touch. Pustulent secretions often accumulate in the fissures of the lesions, causing a foul odor, and secondary infections are frequently triggered by scratching. Due to continuous exposure to local moisture and chronic irritation, they tend to grow rapidly. This condition is often asymptomatic, but some patients may experience local pain or itching. Occasionally, it can transform into squamous cell carcinoma.

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