Are the white spots on glans penis harmful?

Hello,

Welcome to icliniq.com.

I have gone through the details and image (attachment removed to protect the patient's identity) provided by your end and I do understand your concern. The white spot on your glans penis as it appears in the image to be slightly raised and thick could be due to Tinea infection (fungal infection) or could be lichen sclerosus. Apart from the same, the small pearly white spots or raised lesions are Fordyce spots. Usually, for lichen sclerosus, it is important to confirm the diagnosis by testing the skin on the area via direct consultation and to rule out any other possibilities or elements of the lesion. For this purpose, I would highly recommend consulting a dermatologist in person to undergo the test. However, Lichen sclerosus usually causes symptoms like itching, discomfort, flakiness, sometimes bleeding, and so on, and since you do not have these symptoms, you do not have to worry. However, it is important to have them ruled out through a test. With Tinea, they can be managed with medications.

Fordyce spots as I mentioned as pearly white raised lesions are completely harmless and do not require any treatment. They appear due to oil glands in the affected area. However, it is to be noted that they should not be picked or squeezed out. In case they turn bothersome in terms of appearance, they may have to be removed through procedures like carbon dioxide lasers or micro punching techniques which are done by a doctor in person.

My suggestions:

1. Avoid strong irritants or soaps on the penile area.

2. Gently wash the private area with a mild soap lathered in water.

3. Use Tacrolimus (Paraffin and Propylene carbonate) 0.03% ointment. Apply this ointment very gently on the affected area only in a very thin layer. Use an amount as small as a sesame seed since it is a strong medication. Use at night only for two weeks. After which, a two-week break is to be taken and may be resumed for two more weeks, and so on.

4. A gentle glycerin cream or coconut oil may be applied lightly on the glans penis to help with moisturization once daily.

5. Make sure to consult a doctor in person to rule out other possibilities including ruling out lichen sclerosus through tests.

6. Luliconazole cream. Apply this cream in the morning daily on the affected area for four weeks.

7. Avoid picking, frequent touching, and squeezing of the lesions.

Hope I can be of help. Thank you.