Unusual Changes in the Foreskin: What You Need to Know - Urology

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Issues related to the foreskin?


Dr.
Hsu, I would like to ask about the area below my penis, specifically the line in the middle of the foreskin.
The middle part of the line is not continuous, and in the disconnected area, there are some strange-looking spots that resemble pockmarks, similar to acne scars.
This has been present for quite some time and is completely painless.
What could this be, and how should I handle it? Will it improve? Although it doesn't cause any issues, it is quite unsightly.
It shouldn't be a sexually transmitted infection, right? Is it necessary to see a doctor? Thank you.

Kunao de nanhai, 20~29 year old female. Ask Date: 2006/08/22

Dr. Xu Weikai reply Urology


Distressed Boy: Hello, it should not be a sexually transmitted infection, but what exactly it is cannot be accurately diagnosed based on the information provided above.
Note: I just returned to work today due to a business trip, so I apologize for the delayed response.
Sincerely, Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2006/08/22

More Info


When it comes to unusual changes in the foreskin or the area around the penis, it is essential to understand that various conditions can lead to changes in appearance, texture, or sensation. Based on your description of having a line that is not continuous and the presence of pits resembling acne scars, there are several possibilities to consider.

Firstly, the line you are referring to is likely the frenulum, which is a band of tissue that connects the underside of the penis to the foreskin. Variations in the appearance of the frenulum can occur due to several benign conditions. The pits or indentations you describe could be a result of a condition known as pearly penile papules, which are small, harmless bumps that can appear around the corona of the glans (the head of the penis). These are not a sexually transmitted infection (STI) and do not require treatment unless they cause discomfort or concern.

Another possibility is that what you are observing could be related to a condition called lichen sclerosus, which can cause white patches and changes in the skin of the genital area. However, this condition is usually accompanied by other symptoms such as itching or pain. Since you mentioned that there is no pain or discomfort, this may be less likely.

It is also important to consider that changes in the skin can sometimes be due to irritation, friction, or even hygiene practices. If the area has been subjected to excessive friction (for example, from tight clothing or vigorous sexual activity), this could lead to changes in the skin's texture.

While the absence of pain is a good sign, it is still advisable to consult a healthcare professional, particularly a urologist or dermatologist specializing in genital health. They can perform a physical examination and provide a definitive diagnosis. Even if the condition is benign, a medical professional can offer reassurance and discuss potential treatment options if you are concerned about the cosmetic appearance.

In summary, while the changes you are experiencing may not be indicative of a serious condition, it is always best to err on the side of caution. A healthcare provider can help determine the exact nature of the changes and provide guidance on whether any treatment is necessary. Regular check-ups and being attentive to any new symptoms or changes in your body are essential components of maintaining good health.

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