Dark Spots Under the Foreskin: When to See a Urologist

There is a dark spot under the glans when the foreskin is retracted?

I discovered this when I was in elementary school and thought everyone was the same until a few days ago when I mentioned it to my girlfriend.
I realized that it seems like only I have a dark, uneven patch of skin about one centimeter long behind the glans (the skin behind the glans, not the glans itself) after retracting the foreskin.
The skin in other areas is of normal color and flat, without any bumps.
It doesn't hurt or itch.
Should I see a urologist for this? Would it be strange to consult a doctor about something like this?

Lao Er Guai, 20~29 year old female. Ask Date: 2021/01/09

Dr. Li Xinyi reply Urology

It sounds like it is caused by melanocytes.
If there are no changes, such as thickening, enlargement, or symptoms, it should be fine to just monitor it.
However, if there are concerns, it is advisable to consult a dermatologist or urologist for an examination and to discuss it with the physician on-site.

Reply Date: 2021/01/09

More Info

When it comes to noticing dark spots or any unusual changes in the skin, especially in sensitive areas like under the foreskin, it is always advisable to consult a healthcare professional, specifically a urologist. While it may feel awkward or trivial to seek medical advice for what seems like a minor issue, it is important to prioritize your health and well-being.

Dark spots under the foreskin can arise from various causes, including benign conditions such as hyperpigmentation, which is often harmless and can occur due to friction, irritation, or simply as a normal variant of skin pigmentation. However, other potential causes could include infections, skin conditions, or even more serious concerns such as precancerous changes or malignancies.
Given that you have described the dark spot as being about one centimeter in size, irregularly shaped, and located on the skin behind the glans (the head of the penis), it is prudent to have it evaluated by a urologist. They can perform a thorough examination and may recommend further diagnostic tests if necessary. It is worth noting that skin changes, even if asymptomatic (not causing pain or itching), should not be ignored, especially if they are new or have changed in appearance.

In terms of when to see a urologist, here are some guidelines:
1. Duration: If the dark spot has been present for a few weeks without improvement or if it has changed in size, shape, or color, it is a good idea to seek medical advice.

2. Associated Symptoms: While you mentioned that there is no pain or itching, if you start to experience any discomfort, discharge, or other symptoms, you should see a urologist promptly.

3. Personal History: If you have a history of skin conditions, sexually transmitted infections (STIs), or any other relevant medical history, this information can be important for your urologist to know.

4. Peace of Mind: If you are feeling anxious or concerned about the appearance of the dark spot, it is always better to err on the side of caution and consult a healthcare professional.
5. Education: Visiting a urologist can also provide you with valuable information about normal anatomy and variations, which can help alleviate any concerns you may have about your body.

In summary, while it may feel uncomfortable to discuss such matters, seeking the opinion of a urologist is a responsible step towards ensuring your health. They are trained to handle such concerns with professionalism and confidentiality. Remember, your health is important, and addressing any changes, no matter how small they may seem, is a crucial part of maintaining your overall well-being.

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