Glans Skin Issues: What to Know About Unusual Spots

Glans skin issues?

Hello doctor, I noticed a patch on the glans a week ago.
It appeared suddenly but is neither painful nor itchy, located on the coronal sulcus.
It is not raised, has a smooth surface, and is lighter in color than the surrounding area—flesh-colored but with a shiny, whitish appearance.
I have already consulted a urologist, who said it does not appear to be a lesion and advised me to monitor it.
When I asked, she mentioned it is not leukoplakia.
So far, it has not increased in size.
I have not engaged in sexual intercourse, but I do masturbate quite frequently.
What could this situation be? I don't think it is an infection.
Which specialist should I see next? Thank you.

Chen, 20~29 year old female. Ask Date: 2017/08/25

Dr. Wu Yuxin reply Dermatology

First, make an appointment with a dermatologist for an evaluation.

Reply Date: 2017/08/25

More Info

When it comes to unusual spots on the glans (the head of the penis), it's important to approach the situation with caution and an understanding of the various potential causes. Based on your description, you have noticed a smooth, light-colored spot on the glans that is not painful or itchy, which is a positive sign. The fact that a urologist has examined it and deemed it non-concerning is reassuring, but it's understandable that you still have questions.

Firstly, let's discuss some common benign conditions that could explain the appearance of such spots. One possibility is a condition known as pearly penile papules, which are small, harmless bumps that can appear around the corona of the glans. They are often flesh-colored or slightly white and do not cause any discomfort. Another possibility is a sebaceous cyst, which can occur when a sebaceous gland becomes blocked. These cysts are typically painless and can appear as small, smooth bumps.

Additionally, skin conditions such as lichen sclerosus or vitiligo could also present as lighter patches on the skin, but these conditions usually come with other symptoms or changes in texture. Given that your spot is smooth and has not changed in size or appearance, it is less likely to be a serious condition.

Regarding your concern about sexual activity, it is important to note that many skin conditions are not sexually transmitted and can occur regardless of sexual history. Frequent masturbation, as you mentioned, is generally not harmful and does not typically lead to skin changes unless there is irritation or friction involved.

As for what to do next, since your urologist has advised observation, it may be best to follow that recommendation. Keep an eye on the spot for any changes in size, color, or texture. If it begins to itch, become painful, or show any signs of infection (such as redness or discharge), you should seek further evaluation. If you remain concerned or if the spot changes, consider consulting a dermatologist, who specializes in skin conditions and can provide a more in-depth assessment.

In summary, while unusual spots on the glans can be concerning, many are benign and do not require treatment. Monitoring the spot and maintaining good hygiene is advisable. If you have any further concerns or if the situation changes, do not hesitate to seek medical advice. Remember, your health and peace of mind are paramount, and it’s always better to err on the side of caution when it comes to changes in your body.

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