Stains on the glans penis

Some spots on the glans penis are caused by serious illnesses, but most of the spots on the penis are completely harmless.

The biggest concerns are:

  • a transmitted sexually transmitted disease
  • or a tumor.

Sometimes spots on the glans penis are the sign of a sex-specific infection, but almost never a sign of cancer.

Many people think that some diseases, such as mononucleosis and AIDS, cause speckles or red spots on the glans penis, but this is a myth.


Types of spots on the glans penis

Spots on the glans penis can be divided into groups depending on their appearance.

Wounds: these are small, not very frequent skin lesions. Often they form a crust or fill with pus.

Papules: these are small nodules (less than 1 cm in diameter) raised above the surface of the skin.

Plaques: protruding deposits, flat and larger than 1 cm in diameter.

Single ulcer on the penis: often caused by a sexually transmitted disease and you need to consult a doctor as early as possible.

Causes of spots on the glans penis

Eczema usually affects other parts of the body, but can occur in rare cases.

It also occurs on the penis. In such cases, it may be a skin reaction to irritants.

  • The material that makes up the condom (latex) can cause an allergic reaction that affects the glans.
    It is usually referred to as atopic dermatitis.
  • If the stains appear on the glans during washing, it may be an allergic reaction to a substance contained in the detergent.

The eczema appears as red and bright plaques with a blurred edge and cracked or cracked surface.
Usually it leads to pronounced irritation.
Various treatment options are available, for example cortisone-containing creams.
It is not contagious.

Bacterial prostatitis
Red spots and burning on the glans penis can also be caused by bacterial prostatitis.
In such a case, the symptoms are mainly felt:

  • during ejaculation,
  • when urinating,
  • after sexual intercourse.

Single ulcer on the penis causing spots on the glans penis

  • Syphilis stage 1: a solitary, painless and circular ulcer on the glans penis or scrotum is characteristic of syphilis.
    Syphilis is caused by spirochetes, which are spiral-shaped bacteria, also called Treponema pallidum.
    It is a sexually transmitted disease.
  • Soft chancre (or molle ulcer): a sexually transmitted disease caused by Heamophilus ducreyi. This disease initially causes a papule with a reddish border. Later, painful genital ulcers form on the foreskin.
  • Granuloma inguinale and lymphogranuloma venereum: are caused by sexually transmitted diseases; the first is caused by Klebsielle granulomatis and the second by chlamydia; they are diseases that provoke a single, initially painless ulcer that spreads a foul odor.
  • Penile tumor: may appear like a painless and irregular genital ulcer. Usually it occurs in men over 60 years of age.
    Treatment and early detection are important and can be life-saving.

Multiple ulcers on the penis that cause spots on the glans penis

Multiple ulcers on the penis are more common and can have a less serious cause.
However, a doctor should be consulted immediately.
They can be divided into two groups:
1. Acute – lasts less than two weeks.
2. Chronic – persists for more than two weeks.

Genital herpes: this is the most common cause of a genital ulcer.
It is caused by the herpes virus type two, rarely also by type one (the virus that causes herpes oralis or labialis).
Genital herpes is characterized by the formation of vesicles in the genital area, that is, small blisters that burst very quickly and form painful, small ulcers.
It is highly infectious and will:

  • usually transmitted through sexual intercourse,
  • in rare cases, it also develops after oral sex.

The first manifestation provokes a fairly strong burning sensation.
Acute episodes can be successfully treated with antivirals such as acyclovir.
Stress and other illnesses can cause a recurrence.

Syphilis stage 2: The secondary stage of syphilis causes several irregular, flat, painless ulcers on the penis.
It usually occurs together with a flu-like illness and rash with red spots on the body.
It is an infectious sexually transmitted disease.

Aphthae: these are small, flat and painful lesions that occur mainly in the mouth, but can also occur on the penis.
Usually they are whitish in the center, while the edge is bright red.
They occur in groups and pass without treatment.
Aphthae are not contagious, their cause is unknown.

Chronic multiple ulcers on the penis that cause spots on the glans penis

Pemphigus: this lesion usually affects other parts of the body such as the mouth, but can also occur on the penis.
These are thin-walled blisters that rupture and form new ulcers.
Pemphigus is usually painful and can cause itching.

Behçet’s disease: this inflammatory disease affects:

  • Skin
  • Joints
  • Annoy
  • Eyes
  • other body organs .

Symptoms are large, deep and painful ulcers on the glans penis and scrotum, ulcers always occur in the mouth.

When the genital ulcers heal, they leave traces on the skin:

  • Scars
  • Stains.

It is a potentially serious disease, but it is not contagious.

Reiter’s syndrome is a rheumatic disease associated with generalized arthritis.
About a quarter of affected people have small and ulcerated plaques around the glans penis and on the foreskin.
Reiter’s syndrome can also affect:

It is caused by an abnormal immune response to an intestinal or by a sexually transmitted disease.
It can cause recurrences over a longer period of time, but is well treatable.
Reiter’s syndrome is not contagious, but the pathogens that cause it can be transmitted through sexual intercourse, for example in the case of:

Papules on the glans

Papules are small red pimples that usually have no serious cause. However, some of them are infectious.
Especially for people over 50 years of age, it is important to consult a doctor as early as possible for papules on the penis.

Molluscum contagiosum is a common benign, infectious viral disease that affects the skin and mucous membranes.
It is a common condition in children and is transmitted through skin-to-skin contact with an infected person.
In adults, molluscum contagiosum can also be transmitted sexually and affect the genitals, but can also occur on:

  • Face
  • Neck
  • Trunk
  • Extremities.

The papules appear clustered, are small, arched and centrally dented, where they have a whitish color.
The disease can pass on its own without treatment. However, icing or cauterization can also be performed.

Hair follicles and sebaceous glands that secrete
These papules are extremely common and components of normal skin.
Usually they are present on the penis, especially on the lower surface of the skin (below the shaft).
The papules can be visible as small nodules or just noticeable like small granules under the skin.

Hirsuties papillaris penis: the multiple papules are small (1-3 mm) and are found at the edge of the glans.
They develop in men around the age of 20-30, about 10 percent of men are affected.
They can be confused with warts, are not infectious and do not require treatment.

Fordyce dots are small (1 mm) pink to yellowish papules. They can appear on the glans penis or scrotum and usually occur in adolescents.
Possible manifestations:

  • sporadic
  • in groups of 50 to 100.

They are painless and non-itchy physiological structures, but can be uncomfortable due to their appearance.
Fordyce points are hypertrophic sebaceous glands covered by thickened skin.
They are not infectious, a cause is not known.
For aesthetic reasons, they can be removed with a CO2 laser.

Psoriasis: It usually affects other parts of the body, especially:

  • Knee
  • Elbow
  • Scalp.

Sometimes psoriasis appears on the penis on the surface of the glans penis and foreskin.

Genital psoriasis has different symptoms than psoriasis in other parts of the body. The symptoms of genital psoriasis are:

  • red thickened papules,
  • Itch.

There are several effective treatment options for psoriasis, such as cortisone-containing creams (clobetasol cream).

Warts: different types of warts can appear on the penis.
The genital wart (condyloma) is caused by the human papillomavirus (HPV) and is contagious.
The warts can:

  • occur sporadically or multiply,
  • be red or brown in colour,
  • have a moist surface.

HPV infection is associated with the development of cancer of the cervix and anus.
It can be treated in several ways:

  • icing with liquid nitrogen,
  • surgical removal.

Plaques on the glans penis

Plaques on the penis are not caused by a serious disease, but some are infectious.
Rarely, erythroplasia de queyrat, lichen sclerosus and balanitis xerotica obliterans (BXO) can cause penile cancer.

Balanitis and posthitis: Balanitis is an inflammatory disease of the glans penis.
Posthitis is an inflammatory disease of the foreskin.
Symptoms include:

  • local irritation,
  • Burn
  • red rash.

Sometimes the skin appears furrowed and burned.
The cause is an infection by bacteria or fungi similar to the Candida.
This condition can be provoked durch_

  • Sexual intercourse
  • excessive use of antibiotics.

With balanitis caused by candida, treatment is carried out by an antifungal cream.

Balanitis or swelling of the glans penis is hard to miss if caused by a yeast infection (for example, Candida albicans).
Symptoms include:

  • unbearable itching,
  • burning sensation on the glans,
  • pain especially after ejaculation,
  • small red dots,
  • redness, white substances on the glans penis and foreskin,
  • discharge or secretion from the foreskin,
  • Blow.

Therapy for yeast infection
For the treatment of the patient, doctors usually prescribe certain medicines with:

  • Amphotericin B (Ampho-Moronal®),
  • fluconazole,
  • Ketoconazole.

In addition to garlic and olive oil, natural remedies also include yogurt, which brings the intestinal flora back into a “good” condition.

Erythroplasia de Queyrat: this rare disease appears as a bright red spot, surrounded by a velvety surface.
As a rule, it is painless and does not cause itching.
It is an initial manifestation of penile cancer and requires timely diagnosis and treatment.

Balanitis plasmacellularis Zoon manifests itself in bright red plaques on the surface of the foreskin and glans. It is usually painless, but can cause itching.
The cause is unknown.
The recurrence rate of balanitis plasmacellularis Zoon is high.
Circumcision can bring healing, but it is not absolutely necessary.
New therapies include:

  • CO2 laser exposure,
  • topical immunomodulators.

Balanitis plasmacellularis Zoon is not contagious.

Lichen sclerosus and balanitis xerotica obliterans: Lichen sclerosus forms white plaques:

  • Acorn
  • Foreskin
  • Scrotum.

The course is usually asymptomatic (does not cause symptoms).
Lichen sclerosus can affect the entire genital area and the pubic region.
Balanitis xerotica obliterans is a serious form of lichen sclerosus that affects the foreskin, glans penis and urethral mouth in uncircumcised men.
A white strip of fibre forms on the edge of the foreskin.
This can lead to disabilities in:

  • urine flow (narrowing of the urethra),
  • Sexual intercourse.

Both diseases are not contagious.

Read more: