Skin Growths: Are These Moles on My Penis Blood Vessels? - Urology

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When it comes to skin growths, particularly those found on sensitive areas such as the penis, it is essential to approach the situation with caution and a thorough understanding of the potential causes. Based on your description, you have noticed two small, round, slightly raised red spots on the foreskin, which become more pronounced after sexual activity. Your concern about whether these could be blood vessels or possibly a hemangioma (a type of benign tumor made up of blood vessels) is valid.

Firstly, it's important to clarify that not all red spots or growths on the skin are blood vessels or hemangiomas. The appearance of these growths can be attributed to various conditions, including but not limited to:
1. Angiomas: These are benign growths made up of small blood vessels. They can appear as red or purple spots on the skin and are generally harmless. They can occur anywhere on the body, including the genital area.

2. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the penis. They are often mistaken for sexually transmitted infections but are a normal anatomical variant and do not require treatment.

3. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection or irritation. It can result in red, raised bumps that may be tender or itchy.

4. Seborrheic Keratosis: Although less common in the genital area, these are non-cancerous growths that can appear as raised, scaly patches on the skin.

5. Dermatological Conditions: Conditions such as eczema or psoriasis can also lead to red, irritated patches on the skin, although they typically present with additional symptoms like itching or scaling.

Given that these spots become more pronounced after sexual activity, it could indicate increased blood flow to the area, which is normal during arousal. However, if the spots are new, changing in appearance, or accompanied by other symptoms (such as pain, itching, or discharge), it is crucial to seek medical advice.

In terms of diagnosis, a healthcare professional would typically perform a physical examination and may ask about your medical history, sexual history, and any other symptoms you may be experiencing. In some cases, a biopsy may be necessary to rule out any serious conditions, especially if there is any uncertainty regarding the nature of the growths.

It is also important to note that while many skin growths are benign, any new or changing lesions should be evaluated by a healthcare provider to rule out potential skin cancers or other serious conditions.
In conclusion, while the growths you are describing could potentially be benign vascular lesions like angiomas or hemangiomas, it is essential to have them evaluated by a healthcare professional for an accurate diagnosis and appropriate management. Avoid self-diagnosing, and do not hesitate to seek medical advice, especially when it comes to sensitive areas of the body.