I’m a 37 y/o male married nearly 12 years. 

In January, I had a urethral dilation for structures. I also got Covid, work a super stressful job, poor diet, smoked, and am pre-diabetic. 

About 5-6 weeks after my dilation, I noticed 2-3 small bumps just below and right of my frenulum that never seemed to be there. I went to our family doc and he said he didn’t think it was pathological and likely just swollen glands/papules due to overweight/foreskin/and moisture being an issue. Though they haven’t changed or gone away with focusing on hygiene 

I think it may be HPV and I also have tingling around my penis/scrotum. Is this HPV too? How is this possible in a monogamous marriage of nearly 12 years? I know I am and I also strongly believe my wife has been 100% faithful to me as well. 

There are plenty of causes of genital skin bumps other than warts. It is likely your family doctor has lots of experience with warts and would have recognized them if that were the problem. Or check with your urologist, who undoubtedly also has lots of experience with all sorts of genital lesions. So at this point, the main thing is to not assume you have warts. We don't try to diagnose particular problems, but I'm sure this can be sorted out with certainty quite quickly. As for "tingling" of the penis and scrotum, that is not a symptom of HPV or any other sexually transmitted infections. Warts and HPV cause no abnormal sensation at all.

But now let's assume you do have warts. If so, it has absolutely no implications for your monogamy, fidelity, etc. Most people acquire HPV, including infection with wart-causing types of the virus. If you or your wife were sexually active with other partners before you became a couple, you can be sure you both have had HPV and very likely continue to carry it. HPV can reactivate to cause warts or other active problems (e.g. abnormal Pap smear) for life. So new appearance of these things several years into a monogamous marriage occurs all the time.

But I emphasize you do not necessarily have warts. Discuss again with your doctor; or see your urologist; or consider another opinion, e.g. from a dermatologist. I'll be happy to comment further about warts and HPV if that diagnosis is confirmed.

I hope this information is helpful. Let me know if anything isn't clear.

HHH, MD

I appreciate your quick reply and for providing your experience, insights, and recommendation. 

It’s quite helpful. I did a lot of research on the web and it probably added to my anxiety, so it’s extremely reassuring to hear from an MD with an impressive wealth of experience. 

Thank you for the suggestion of my urologist. I am going to trust in my doc, but if I find myself needing another look, that makes a lot more sense than me feeling like a jerk at my primary by setting up another appt to ask “are you sure you’re sure?” 

Take care, Doc!