Unexplained White Skin Tissue on the Penis: Causes and Solutions - Urology

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There are unexplained white skin lesions on the glans and penis?


Hello doctor, those white tissues have been present for about one to two years.
There was a previous wound that bled, and I suspect that it might be necrotic tissue from a healing wound.
It seems to regrow even after removal.
Can this issue be improved?

Xiao Yuan, 20~29 year old female. Ask Date: 2024/02/24

Dr. Du Shixi reply Urology


Hello: If you cannot see the image, based on your description, you should seek medical attention.
In the meantime, keep the area clean and dry, and make sure to dry thoroughly after urination if you have a foreskin.
Practice safe sex.
Wishing you good health.

Reply Date: 2024/02/24

More Info


When it comes to unexplained white skin tissue on the penis, it is essential to approach the situation with caution and seek professional medical advice. The symptoms you describe, particularly the presence of white tissue that has persisted for one to two years, could be indicative of several conditions, including but not limited to post-inflammatory hyperpigmentation, lichen sclerosus, or even a fungal infection. Given that you mentioned a previous injury that bled, it is possible that the area has undergone changes due to the healing process, which can sometimes lead to the formation of scar tissue or other skin changes.

Possible Causes:
1. Post-Inflammatory Changes: After an injury, the skin can undergo changes as it heals. This might result in areas of lighter or darker pigmentation, which can appear as white patches.


2. Lichen Sclerosus: This is a chronic skin condition that can cause white patches on the genital area. It is more common in men and can lead to discomfort, itching, and even scarring if left untreated.

3. Fungal Infections: Certain fungal infections can cause changes in skin color and texture, leading to white patches or scaling.

4. Pearly Penile Papules: These are small, benign bumps that can appear on the penis and may be mistaken for other conditions. They are normal anatomical variations and do not require treatment.

5. Other Dermatological Conditions: Conditions like psoriasis or eczema can also manifest in the genital area, leading to changes in skin appearance.

Improvement Strategies:
1. Consult a Dermatologist or Urologist: Given the duration and nature of your symptoms, it is crucial to consult a healthcare professional who specializes in skin or genital conditions. They can provide a proper diagnosis and recommend appropriate treatment.

2. Avoid Irritation: If the area is sensitive, avoid using harsh soaps or products that could irritate the skin. Gentle cleansing with mild soap and water is advisable.

3. Topical Treatments: Depending on the diagnosis, treatments may include topical steroids for inflammatory conditions, antifungal creams for infections, or other specific medications tailored to your condition.

4. Moisturization: Keeping the area moisturized can help in some cases, especially if dryness is a contributing factor. Use a fragrance-free moisturizer that is safe for sensitive areas.

5. Regular Monitoring: Keep an eye on any changes in the appearance of the white tissue. If it changes in size, color, or if you experience discomfort, seek medical attention promptly.

6. Avoid Self-Diagnosis: While it might be tempting to search for answers online, self-diagnosing can lead to unnecessary anxiety or inappropriate treatment. A healthcare professional can provide clarity and peace of mind.

In conclusion, while it is understandable to be concerned about changes in your skin, especially in sensitive areas, the best course of action is to seek a professional evaluation. They can provide a definitive diagnosis and appropriate treatment options tailored to your specific condition. Remember, early intervention can often lead to better outcomes, so do not hesitate to reach out for help.

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