Unresolved Skin Lesions: When to Seek Surgical or Urology Care - Surgery

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When it comes to unresolved skin lesions, particularly those located in sensitive areas such as near the anus and on the scrotum, it is essential to approach the situation with caution and seek appropriate medical advice. Based on your description of two lesions—one approximately 1 cm near the anus and another about 0.5 cm near the scrotum—that have not shown any signs of inflammation or significant change over the past six months, there are several considerations to keep in mind.

Firstly, the nature of these lesions can vary widely. They could be benign growths such as seborrheic keratosis, skin tags, or even cysts. However, your concern about the possibility of them being genital warts (caused by the human papillomavirus, or HPV) is valid. Genital warts can sometimes appear as small, painless bumps and may not change significantly over time. The fact that they have not inflamed or changed in size does not rule out the possibility of them being warts, but it is also not definitive evidence of it.

In terms of seeking medical care, if your local hospital does not have a dedicated colorectal or proctology department, you have a couple of options. Visiting a general surgeon would be a reasonable choice, as they are trained to handle a variety of skin lesions and can provide a thorough examination. They may also be able to perform a biopsy if necessary to determine the exact nature of the lesions. Alternatively, a urologist could also be consulted, especially since one of the lesions is located on the scrotum. Urologists specialize in the male reproductive system and urinary tract, and they are well-equipped to evaluate and treat conditions in that area.

It is important to note that while some skin lesions may be harmless, others could indicate underlying health issues that require treatment. Therefore, it is advisable not to delay seeking medical attention, especially if you have any concerns about the nature of these growths. A healthcare professional will be able to provide a proper diagnosis and recommend appropriate treatment options, which may include monitoring, topical treatments, or surgical removal if deemed necessary.

In summary, while the lesions you describe may not currently exhibit signs of infection or inflammation, it is crucial to have them evaluated by a medical professional. Given the sensitive locations of these lesions, a visit to either a general surgeon or a urologist would be appropriate. They can provide you with the reassurance you need and help determine the best course of action for your specific situation. Remember, early intervention is key in managing any potential skin conditions effectively.