Men's Genital Skin Issues: Common Concerns and Treatment Options

Male genital issues!

Hello Doctor, I have a few questions:
1.
I have experienced folliculitis due to laser hair removal in my intimate area.
Although the folliculitis has resolved, one of the hair follicles has turned black.
Is there a way to remove it?
2.
I had a circumcision when I was younger, which left a suture line underneath my penis that sometimes gets irritated and breaks the skin.
Is there a surgical option to remove that?
3.
There is a line from my scrotum to my anus that looks like a polyp and has been present for over 20 years.
It sometimes gets irritated during bathing.
Can this also be surgically removed?
Which department should I visit at the hospital for these three issues? Thank you for your response, Doctor.

Chan, 20~29 year old female. Ask Date: 2018/05/04

Dr. Wu Yuxin reply Dermatology

1.
Dermatology
2.
Urology
3.
A definitive diagnosis can only be made after examination.

Reply Date: 2018/05/04

More Info

When it comes to men's genital skin issues, there are several common concerns that can arise, and understanding the treatment options available is crucial for effective management. Based on your questions, let’s address each concern systematically.

1. Folliculitis and Hyperpigmentation: After undergoing laser hair removal, it’s not uncommon to experience folliculitis, which is the inflammation of hair follicles. While the inflammation may resolve, the darkening of the follicle area (hyperpigmentation) can persist. Treatment options for hyperpigmentation include topical agents like hydroquinone, azelaic acid, or retinoids, which can help lighten the skin over time. Additionally, procedures such as chemical peels or laser treatments specifically designed for pigmentation issues may also be effective. Consulting with a dermatologist who specializes in skin pigmentation can provide tailored treatment options.

2. Surgical Scars from Circumcision: If you have a scar from a circumcision that causes discomfort or skin breakdown due to friction, surgical options may be available. A urologist or a dermatologist can evaluate the scar and determine if a surgical revision is appropriate. This could involve excising the scar tissue and closing the area in a way that minimizes future friction and discomfort. It’s essential to discuss your symptoms and concerns thoroughly with the specialist to explore the best options for your situation.

3. Skin Tags or Lesions: The line you describe from the scrotum to the anus, which resembles a polyp and has been present for many years, could be a skin tag or another benign lesion. If it causes discomfort or is prone to irritation, surgical removal is often a viable option. A dermatologist or a general surgeon can assess the lesion and determine the best course of action. They can perform a simple excision under local anesthesia, which is typically a quick and straightforward procedure.

Regarding which specialty to consult for these issues, you would generally start with a dermatologist for skin-related concerns, especially for folliculitis, hyperpigmentation, and skin tags. If surgical intervention is needed, they may refer you to a urologist or a general surgeon for further evaluation and treatment.

In summary, while these conditions can be bothersome, there are effective treatment options available. It’s important to seek professional medical advice to get a proper diagnosis and treatment plan tailored to your specific needs. Regular follow-ups and open communication with your healthcare provider will help ensure the best outcomes for your skin health.

Similar Q&A

Understanding Penis Health: Common Issues and Treatment Options

Hello, doctor. I have some issues regarding my penis. There are things that appear similar to herpes (but they don't ooze), and I occasionally get pimples (not very frequently). There are also ring-like white substances on the glans and foreskin. How can I effectively treat ...

Dr. Xu Weikai reply Urology
Hello: 1. Lesions on the foreskin and penis require outpatient evaluation and treatment. 2. If the foreskin cannot be fully retracted during an erection, it may indicate phimosis. In severe cases or if it leads to infection, surgical correction is recommended. If you have any ...

Effective Treatments for Penile Papules: A Urology Perspective

Regarding papules, are there any treatment options available due to aesthetic concerns?

Dr. Xu Weikai reply Urology
Hello, regarding the rash, we need to identify the underlying cause. Treatment should be directed at the specific etiology. If there are any unclear points, feel free to ask again, and we can discuss and research further. Online responses should only be used as a reference; if ne...

Dealing with Skin Issues on the Penis: What You Need to Know

Hello doctor, recently I've noticed peeling on my glans (it's white... I've washed it off), and there are pearly lesions only in the sulcus (I can't distinguish whether it's pearly penile papules or genital warts; they are numerous, small, and irregularly...

Dr. Du Shixi reply Urology
Hello: Keep the area dry, do not wash the skin there with soap or body wash; rinse with clean water and gently pat dry. Avoid keeping it moist frequently. Rashes are mostly related to sebaceous glands. If there is no improvement after one week, or if there has been any unsafe sex...

Persistent Penis Skin Lesion: Causes and Treatment Options

Hello Dr. Lee: I have not engaged in sexual intercourse and rarely masturbate. I make sure to wash my genital area thoroughly every day. However, three months ago, I noticed unexplained skin breakdown under the foreskin of my penis, which is itchy and painful. After enduring it f...

Dr. Li Yilun reply Urology
The physician's diagnosis of a condition must rely on the patient's presentation, physical examination, and clinical experience. With advancements in technology, diagnostic tests such as blood tests, urine tests, semen analysis, or specific imaging studies can assist in...