Dark Discoloration Around the Glans: Causes and Concerns - Urology

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Glans issues


The edge of the glans is always dark (similar to a bruise with a deep purple color), and only that area is affected, while the rest of the glans is of normal color.
There is no swelling, pain, or itching.
I found information online suggesting that tight foreskin can cause poor blood circulation, but I have already retracted the foreskin.
Additionally, masturbation is normal.
Could there be any issues with this?

Yuan, 10~19 year old female. Ask Date: 2022/04/06

Dr. Chen Jiansheng reply Urology


Is there any issue occurring?

Reply Date: 2022/04/06

More Info


The dark discoloration around the glans, which you describe as a deep purple or bruise-like appearance, can be concerning, but it is important to understand the potential causes and implications. First and foremost, the absence of pain, itching, or swelling is a positive sign, as these symptoms could indicate an underlying issue that requires medical attention.

One possible explanation for the discoloration could be related to vascular changes. If there was a history of tight foreskin (phimosis) that has since been resolved, it is possible that there was previous restricted blood flow to the area, leading to localized discoloration. Once the foreskin was retracted, normal blood flow may not have fully returned, resulting in a persistent change in color. This can sometimes happen if there was previous trauma or irritation to the area, even if it was minor and went unnoticed.

Another consideration is the possibility of a benign condition known as "penile melanosis," which is characterized by dark spots or patches on the penis. This condition is generally harmless and can be caused by various factors, including friction, hormonal changes, or simply a normal variation in skin pigmentation.
In some cases, darker areas can also be attributed to hyperpigmentation, which can occur due to friction, irritation, or even hormonal influences. This is particularly common in areas of the body that experience more friction or rubbing, and it is usually not a cause for concern.

However, it is essential to rule out any potential pathological conditions. While the symptoms you describe do not suggest an immediate concern, it is advisable to monitor the area for any changes. If you notice any new symptoms, such as pain, swelling, or changes in the texture of the skin, it would be prudent to seek medical evaluation.
Additionally, if the discoloration persists or if you have any concerns about the appearance of the skin, consulting a healthcare professional, such as a urologist or dermatologist, would be beneficial. They can perform a physical examination and may recommend further tests if necessary to ensure that there are no underlying issues.

In summary, while the dark discoloration around the glans may not be indicative of a serious problem, it is essential to remain vigilant and consult a healthcare provider if any concerning symptoms arise. Regular self-examinations and awareness of any changes in your body are crucial for maintaining good health.

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