Penile Lump – Fordyce Spots, Sebaceous Cyst

Hi Carter, although we have done 8000 cosmetic adult circumcisions at the Reed Centre in Miami, sorry, your photo is not well enough illuminated or focused to characterize. I would think most likely your penile lump is a skin appendage (such as a hair follicle) problem. Glad you made to decision to have it “checked-out.”

Fordyce spots (also termed Fordyce granules or Fordyce disease) are visible sebaceous glands that are present in most individuals. They appear on the genitals and/or on the face and in the mouth. They appear as small, painless, raised, pale, red or white spots or bumps 1 to 3 mm in diameter that may appear on the scrotum, shaft of the penis or on the labia, as well as the inner surface (retromolar mucosa) and vermilion border of the lips of the face. They are not associated with any disease or illness, nor are they infectious but rather they represent a natural occurrence on the body. No treatment is generally required, unless they get swollen or infected.

Normally when a cosmetic adult circumcision is performed this lesion would be removed gratis with the specimen and to satisfy our curiosity we can send it out for pathological review.

Cordially,

Harold M. Reed, M.D.

The Reed Centre in Mmai for Cosmetic Adult Circumcisions

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