Should You Remove Moles on the Penis? Medical Advice

Questions related to moles?

If there is a mole on the foreskin, is there a medical recommendation for removal? In the past, I was very anxious about melanoma because I had one on the sole of my foot.
I consulted two doctors who both said it was normal and didn't require any attention.
Recently, I remembered that I also have a mole on my foreskin, which a urologist examined but did not express any concerns.
However, I have read that this area should be monitored, especially since I recall that during my period of anxiety, I found information suggesting that moles on the palms and soles should be watched closely or even removed as a precaution.
I have not heard of similar recommendations for private areas.
I am unsure if this area requires attention and whether a dermatologist can perform a localized excision for mole removal.

Niming, 30~39 year old female. Ask Date: 2020/11/20

Dr. Zhou Hongzhang reply Plastic Surgery

1.
Surgical excision in plastic surgery can involve local removal.
2.
Moles, in principle, do not need to be excised unless there are changes in the mole.

Reply Date: 2020/11/20

More Info

When it comes to moles on the penis or any other sensitive areas, it's essential to approach the situation with a combination of caution and informed decision-making. Moles, or nevi, are common skin growths that can appear anywhere on the body, including the genital area. While many moles are benign and pose no health risks, there are certain factors to consider when evaluating whether to have a mole removed.

Medical Evaluation
1. Consultation with a Dermatologist: If you have a mole on your penis or any other sensitive area, the first step is to consult a dermatologist or a urologist. They can assess the mole's characteristics, such as its size, shape, color, and any changes over time. A thorough examination is crucial, as some moles can develop into skin cancer, including melanoma.

2. Signs to Watch For: The ABCDE rule is a helpful guideline for evaluating moles:
- Asymmetry: One half of the mole doesn't match the other.

- Border: The edges are irregular, ragged, or blurred.

- Color: The color is not uniform and may include shades of brown, black, or even red, white, or blue.

- Diameter: The mole is larger than 6mm (about the size of a pencil eraser).

- Evolving: The mole is changing in size, shape, or color.

If your mole exhibits any of these characteristics, it is advisable to have it evaluated further.

Removal Considerations
1. Reasons for Removal: Moles may be removed for several reasons:
- Cosmetic Concerns: If the mole is bothersome or causes discomfort during sexual activity or personal hygiene, removal may be considered for comfort.

- Medical Concerns: If there is a suspicion of malignancy or if the mole has changed, removal is often recommended to ensure it is not cancerous.

2. Procedure: Mole removal can typically be performed in a dermatologist's office. The procedure may involve:
- Excision: The mole is cut out along with a small margin of surrounding skin. This method is often used if there is a concern about cancer.

- Shave Removal: The mole is shaved off at the skin level. This method is usually for benign moles that are not suspected to be cancerous.

3. Local Anesthesia: The procedure is generally done under local anesthesia, meaning you will be awake but won't feel pain in the area being treated.

Post-Removal Care
After the mole is removed, proper care is essential to promote healing and minimize scarring. Follow your doctor's instructions regarding wound care, which may include keeping the area clean and dry, applying ointment, and avoiding certain activities until healed.

Conclusion
In summary, while moles on the penis are often benign, it is crucial to have them evaluated by a medical professional, especially if there are any changes or concerns. Removal may be warranted for cosmetic reasons or if there is a risk of malignancy. Always consult with a qualified healthcare provider to discuss your specific situation and the best course of action. Regular self-examinations and awareness of changes in your skin can help catch potential issues early, leading to better outcomes.

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