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What Does A Lesion On Penis Indicate?
Question: I just went to the doctor because i had two brown scabs on my penis. I thought it might be dirt so i scraped off the scab and now it looks like a lesion. The er doctor and care now doctor both didn't think it was herpes but the care now doctor tested blood, urine, and for herpes. The care now doctor thinks its a yeast infection, while the er doctor just thought it was a cut.
Brief Answer:
Please provide pictures and details
Detailed Answer:
Hi
I understand your concern regarding your skin problem and I hope I am able to help you in the same .
Now from the description that you have provided, it is difficult to make out the exact diagnosis . I would like to have a look at the exact skin lesions .
It would be great if you can click some close up pictures of the skin condition and upload them here on this page . You can also mail them at YYYY@YYYY with heading as ref to Dr Geetika Paul .
I will be able to tell you more definitely once I have a look at the present skin lesions.
Also please tell if you have any associated itching or pain?
Since when do you have these?
Any outside contact in the recent past?
Any similar lesions in the past?
What all are you applying over it?
Waiting for your response
Dr Geetika Paul
Please provide pictures and details
Detailed Answer:
Hi
I understand your concern regarding your skin problem and I hope I am able to help you in the same .
Now from the description that you have provided, it is difficult to make out the exact diagnosis . I would like to have a look at the exact skin lesions .
It would be great if you can click some close up pictures of the skin condition and upload them here on this page . You can also mail them at YYYY@YYYY with heading as ref to Dr Geetika Paul .
I will be able to tell you more definitely once I have a look at the present skin lesions.
Also please tell if you have any associated itching or pain?
Since when do you have these?
Any outside contact in the recent past?
Any similar lesions in the past?
What all are you applying over it?
Waiting for your response
Dr Geetika Paul
Above answer was peer-reviewed by :
Dr. Prasad
I sent two pictures the email.
Brief Answer:
Looks like traumatic ulcer, local care required
Detailed Answer:
Hi again
I have seen the attached pictures.
There are two small ulcers present over the penile shaft.
Now most importantly, it is surely not looking like a fungal infection.
The pictures are not very clear but the possibilities that come to my mind are that either it is a trauma induced ulceration or it could be herpes.
My first possibility is surely that of a trauma induced infection.
Now to rule out herpes, I would like to know if you noticed development of any fluid filled blisters over the affected areas prior to the scabbing that you noticed.
Also since you have already been tested for herpes,I am sure the blood reports will be of help to us in confirmation of the diagnosis.
At present, local cleaning of the affected area is very important.
You need to clean the area with lukewarm saline water and apply a topical antibiotic cream like neosporin or mupirocin over the affected areas twice a day.
This will help in controlling the local infection.
I am sure it should heal with proper local antiseptic care.
Dr Geetika Paul
Looks like traumatic ulcer, local care required
Detailed Answer:
Hi again
I have seen the attached pictures.
There are two small ulcers present over the penile shaft.
Now most importantly, it is surely not looking like a fungal infection.
The pictures are not very clear but the possibilities that come to my mind are that either it is a trauma induced ulceration or it could be herpes.
My first possibility is surely that of a trauma induced infection.
Now to rule out herpes, I would like to know if you noticed development of any fluid filled blisters over the affected areas prior to the scabbing that you noticed.
Also since you have already been tested for herpes,I am sure the blood reports will be of help to us in confirmation of the diagnosis.
At present, local cleaning of the affected area is very important.
You need to clean the area with lukewarm saline water and apply a topical antibiotic cream like neosporin or mupirocin over the affected areas twice a day.
This will help in controlling the local infection.
I am sure it should heal with proper local antiseptic care.
Dr Geetika Paul
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
No, thats the thing, i didn't even notice the two ulcers until after the scabbed up. So there was no fluid or anything present. I am using Nystatin cream. Will that help?
Brief Answer:
Need treatment with topical antibiotic
Detailed Answer:
Hi again
So I would like to keep the possibility of a traumatic ulcer first owing to on history we development of any blisters.
Nystatin might not really help you much since it is an antifungal agent and I do not see signs of any fungal infection.
You can rather start with application of medicine as advised.
In case the lesion tends to persist or increase even after using the medicines for three to five days, then you might need further evaluation to rule out sexually transmitted diseases like herpes or chancroid, although I feel the possibility of these is very less .
Dr Geetika Paul
Need treatment with topical antibiotic
Detailed Answer:
Hi again
So I would like to keep the possibility of a traumatic ulcer first owing to on history we development of any blisters.
Nystatin might not really help you much since it is an antifungal agent and I do not see signs of any fungal infection.
You can rather start with application of medicine as advised.
In case the lesion tends to persist or increase even after using the medicines for three to five days, then you might need further evaluation to rule out sexually transmitted diseases like herpes or chancroid, although I feel the possibility of these is very less .
Dr Geetika Paul
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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