Patient's question:
In the sulcus of the glans, many small bumps have grown. There are none on the glans itself! Only in the sulcus! It doesn't hurt or itch!Doctor's answer:
The skin lesions caused by bumps on the coronal sulcus are commonly found on the male foreskin, glans, coronal sulcus, and penis, and occasionally on the urethral orifice. Primary genital herpes often accompanied by systemic discomfort, low fever, headache, and other systemic symptoms, with local lymph node enlargement. This condition frequently recurs, and recurrent genital herpes is generally milder than primary cases, with smaller lesions and often no systemic symptoms. The symptoms caused by primary infection-induced bumps on the coronal sulcus are often severe. The incubation period ranges from 2 to 10 days, with an average of 6 days. The affected areas in males include the foreskin, glans, coronal sulcus, and penis. Occasionally, it can be seen on the urethra, prostate, and seminal vesicles. In homosexual individuals, it may occur in the anus or rectum. Primary or recurrent genital herpes, in addition to the bumps on the coronal sulcus, may be accompanied by difficulties in urination, acute urinary retention, herpetic carbuncle, encephalitis, and endometritis. The physical pain combined with mental burden often leads to a loss of self-esteem, making patients reluctant to interact with the opposite sex, which can result in sexual dysfunction, affect marital relationships and family harmony, and even lead to depression over time. If there is no pain or itching, it may be a result of genital cleanliness or excessive foreskin, causing pearly penile papules. These are seen on the edge of the male glans, appearing as small, uniformly arranged papules of millet-sized size, with the same skin color or white, without any inflammatory reaction or discomfort. However, without examination, a definitive diagnosis cannot be made. Additionally, based on your condition, it could also be seborrheic keratosis, milia, or fat granules, among other possibilities.