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Forum Name: Dermatology Topics

Question: bumps on penis

testuser2006 - Wed Dec 27, 2006 12:07 am

Hello, I am 27 male, Approximately a year ago I noticed some bumps(5-6) clustured around a area of my penis skin. They never changed much except they seem to get infected time to time. Recently I went to a doctor, I was precsribed Zithromax TRI-PAK antibioticand and triple Antibiotic Ointment(bacitracin, neomycin, polymyxin) . After I finished the Antibiotic, one of the bumps almost disappeared but others got slightly larger. You can see the most recent close up picture of the area after Antibiotic treatment: http://i120. photobucket. com/albums/o165/testuser2006/test1. jpg My doctor suggests we can try removing them by a simple surgery if they don't go away... what do you think these could be , if they are not responding to the Antibiotic could they still be bacterial or are they virus or fungi ?? Is there better way to treat them other then surgery ? thank you

Dr. Safaa Mahmoud - Wed Dec 27, 2006 10:26 pm

Hello, These bumps could be due to: - Folliculitis (the more likely) is an infection of the hair follicles. Forming small, white-headed Bumps in hair follicles (roots). Lesions may be Itching. Superficial folliculitis resolves spontaneously in a few days, while deep or recurring folliculitis should be medically treated. - Sebaceous cysts (epidermal cysts). Due to obstruction of the glands forming sebum (fat) forming a closed sac under the skin. Sebaceous cysts usually present in the form of: painless, slow-growing small bumps or lumps containing a yellow cheesy" substance. Folliculitis is a chronic condition. Treatment with local Antibiotics is usually helpful, unless deeply infected complicated cases may require systemic course of Antibiotic. Antibiotic combination for one month may be needed. Some doctors advise their patients to continue treatment for one month after the disease has become inactive, or to be on intermittent courses. Mixed infections with candida may occur and require the addition of local anti fungal. Surgery is not recommend by many for fear of scarring, and it is possible for them to recur. May be microscopic examination and culture from a discharge if present or scrap will help identify the infective organism and specific therapy. Follow up with your Doctor is essential. Best regards.

testuser2006 - Fri Dec 29, 2006 3:25 pm

thank you Dr. Mahmoud

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