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Suggest Treatment For Benign Penile Melanotic Macules

Posted on Tue, 2 Feb 2016

Question: hi,

I have two spot in my right side of meatus .

I am attaching two photos one is oct 2014 and another is recent .

I am mastrubuting frequently . and some time in sleep mode also .

not married and not sexual exposure to any one.
Please assist

Answered by Dr. Vivek Chail (1 hour later)

Brief Answer:
Looks like a benign penile melanotic macule which is harmless condition

Detailed Answer:
Hi xxxxxxxxxxx,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. The picture shows a condition which can probably be penile melanotic macule and is a benign harmless condition. Since you have consulted a dermatologist and they told its not a concern therefore it is not a serious problem. These usually are areas of increased pigmentation and many people have it.

2. Warning signs of a malignancy appearing in such a lesion is the following
(i) sudden change in size,
(ii) change in shape,
(iii) change in color,
(iv) diameter of 7 mm or larger,
(v) inflammation,
(vi) oozing or bleeding,
(vii) sensation change

3. However I suggest you to please keep the suspicious signs in mind and take next steps in seeking a second opinion after consulting a dermatologist at a later date, if required.

Taking Candid B will not help because you do not have fungal infection.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vivek Chail (7 minutes later)

Thanks for your reply sir.

i want to know how it will come normal color ?. its recently developed .

1)shall it go through any medication. or ointment .
2)one more thing my latest image my inner skin looks different color. What is that ?

Appreciated your answer.

Answered by Dr. Vivek Chail (8 minutes later)

Brief Answer:
No medicine is required

Detailed Answer:
Hi xxxxxxxxxxxx,
Thanks for writing back with an update.

1. There is no medicine required. There is no need to worry about normal color and many people have it like this.

2. The genital organs have a tendency to have darker pigmentation and this is normal and this occurs slowly. This is due to the combined effect of hormones when a person becomes adult.

3. This is the reason the inner skin looks different.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vivek Chail (12 minutes later)

Hi sir ,

Thanks for your reply i have updated one image could you please look on this.

1.The Glans showing different color as some one told its should be pink colorit .

2. is it vitiligo or anything . i am worried about this .

3. if it will more than 7 mm then what will be problem ?

Answered by Dr. Vivek Chail (4 minutes later)

Brief Answer:
The color of glans is variable and it is not pink in every one

Detailed Answer:
Hi xxxxxxxxxxx,
Thanks for writing back with an update.

1. The glans can be any color from pink to brown. I do not find the color to be a problem in your glans.

2. Vitiligo is a pigmentation problem where there is progressive loss of pigmentation which is not there in your case.

3. If it suddenly increases to over 7 mm then as per international guidelines, it is to be investigated in detail by the dermatologist with a biopsy if required.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar