Concerns About a Raised Lesion on the Penis: Dermatology or Urology? - Urology

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Unknown mass or lesion?


Hello, I have a mole on my foreskin that was originally flat.
I accidentally scratched it with my fingernail until it bled, and it formed a scab that lasted for a long time.
Now it has turned into a small raised bump (approximately 0.7 cm in diameter).
I am concerned about what type of tumor it could be.
Should I see a dermatologist or a urologist? Thank you.

X, 30~39 year old female. Ask Date: 2016/07/02

Dr. Chen Jiansheng reply Urology


Hello, sir: Issues with the skin in the perineal area are difficult to address through online consultations.
Please visit the urology clinic for a personal diagnosis by a physician.
- Dr.
Chen Jian-sheng, Urology Department, Hsin-Ying Hospital.

Reply Date: 2016/07/02

More Info


When it comes to a raised lesion on the penis, particularly one that has changed in appearance after trauma (like scratching or picking), it is essential to approach the situation with caution. The lesion you describe, which started as a flat mole and has now developed into a small raised bump after being injured, warrants a thorough evaluation.
In general, both dermatologists and urologists can address concerns related to skin lesions in the genital area. However, the choice between the two specialties may depend on the specific characteristics of the lesion and any associated symptoms. Dermatologists specialize in skin conditions and are well-equipped to assess and treat various skin lesions, including moles, warts, and other dermatological issues. Urologists, on the other hand, focus on the urinary tract and male reproductive system, which includes conditions affecting the penis.

Given that your lesion has changed in size and shape, it is advisable to see a dermatologist first. They can perform a detailed examination and may recommend a biopsy if there is any suspicion of malignancy or if the lesion appears atypical. Dermatologists are trained to recognize the signs of skin cancer and other skin disorders, and they can provide appropriate treatment options based on their findings.

If the dermatologist determines that the lesion is related to a urological issue, they can refer you to a urologist for further evaluation. It's important to note that any changes in the skin, especially in sensitive areas like the genital region, should not be ignored. Early diagnosis and treatment are crucial for the best outcomes.

In the meantime, avoid further irritation to the lesion. Do not pick at it or apply any topical treatments without consulting a healthcare professional. Keeping the area clean and dry is essential, but refrain from using any harsh soaps or irritants that could exacerbate the condition.

In summary, I recommend scheduling an appointment with a dermatologist to evaluate the raised lesion on your penis. They will be able to provide a proper diagnosis and guide you on the next steps for treatment. If necessary, they can refer you to a urologist for further assessment. Remember, it’s always better to err on the side of caution when it comes to changes in your skin, especially in sensitive areas.

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