What's the matter with the small particles growing on the foreskin?

Small particles on the foreskin may be related to factors such as pearl rash, ectopic sebaceous glands, genital warts, allergic reactions or folliculitis. It is recommended to seek medical treatment promptly for a clear diagnosis and avoid self-treatment.

1. Pearl rash

Pearly rash is a common benign lesion of male genitals, which appears as small white or light red particles arranged neatly on the coronal edge of the foreskin. It may be related to poor local hygiene or excessive foreskin, and usually does not require treatment. If it affects the appearance or is complicated by infection, laser or cryotherapy may be considered. It is necessary to keep the perineum clean and dry daily and avoid excessive friction.

2. Ectopia of sebaceous glands

Ectopic sebaceous glands are small yellow particles formed by abnormal distribution of sebaceous glands in the mucous membrane, commonly found on the inside of the foreskin. It is related to changes in hormone levels and generally does not cause discomfort and does not require special treatment. If the particles enlarge or rupture, you need to seek medical treatment to rule out other pathologies. Avoid using harsh lotions to cleanse the area.

3. Genital warts

Genital warts are caused by human papillomavirus infection and appear as cauliflower- or papillary growths. It is contagious and needs to be confirmed by acetic acid white test or pathological examination. Drugs such as podophyllotoxin tincture and imiquimod cream are commonly used in clinical treatment, and carbon dioxide laser can be used to remove stubborn cases. Sexual contact should be prohibited during treatment and should be reviewed regularly.

4. Allergic reaction

Contact with allergenic substances such as condoms and detergents may cause red papules and itching on the foreskin. After identifying the allergen, you need to stop contact immediately. You can follow the doctor's advice to take oral loratadine tablets or topical mometasone furoate cream to relieve symptoms. Wearing pure cotton underwear can help reduce friction and irritation, avoid scratching and prevent secondary infection.

5. Folliculitis

Bacterial infection of the hair follicles causes the formation of red pustule-like particles that may be painful. Staphylococcus aureus is a common pathogen, and topical mupirocin ointment or fusidic acid cream can be used. Repeated attacks require investigation of underlying diseases such as diabetes. Pay attention to disinfecting shaving tools every day and avoid squeezing the affected area.

Keeping the genitals clean is key to preventing small particles. It is recommended to wash the inside and outside of the foreskin with warm water every day and avoid using alkaline soap. Choose cotton underwear with good breathability and change it promptly. Pay attention to cleanliness before and after sexual intercourse. If the small particles continue to enlarge, bleed, or are accompanied by ulcers, you should immediately seek medical attention from a dermatology or urology department to determine their nature through secretion testing, pathological biopsy, etc. Do not self-medicate or scratch to avoid aggravating the condition or delaying treatment.