Penile Vascular Tumors: Diagnosis, Treatment, and Prevention

Q: Penile Vascular Tumors: Diagnosis, Treatment, and Prevention

Hello Mr. <br>Bu： <br>Vascular tumors can present in many different forms on the skin and can occur in individuals from newborns to the elderly. <br>However, I regret to inform you that the medical community currently does not have a clear understanding of the causes and preventi

Hemangioma at the base of the penis?

Hello Doctor: Two weeks ago, I noticed several small black lesions suddenly appeared at the base of my penis (all separate).
I have been very worried and suspected that I might have contracted genital warts.
Three days later, I visited a dermatology clinic for a diagnosis.
The doctor diagnosed it as viral warts, stating that it was indeed genital warts, and performed cryotherapy on the spot (applying liquid nitrogen with a cotton swab to the affected area).
After a week and three days, there was no significant improvement, but some of the lesions had shrunk and their color had faded.
I then consulted another clinic, where the doctor said it was not genital warts but a hemangioma.
He explained the differences between genital warts and my hemangioma in detail and even gave me a booklet titled "Understanding Genital Warts." I would like to ask, if it is a hemangioma, what treatment method is better? Does it have any impact since it is located on the penis? The current difference from two weeks ago is that the larger lesions have shrunk and flattened a bit, while the smaller ones remain.
The largest one has a diameter of 0.8 mm and resembles a bruise in color.
How do these black lesions develop? What preventive measures should I take in the future?

Mr. Bu, 30~39 year old female. Ask Date: 2007/01/19

Dr. Hong Zhengsheng reply Dermatology

Hello Mr.
Bu:
Vascular tumors can present in many different forms on the skin and can occur in individuals from newborns to the elderly.
However, I regret to inform you that the medical community currently does not have a clear understanding of the causes and prevention of vascular tumors (which means the causes are unknown).
Based on your written description, I am unable to ascertain your specific condition.
Answers found online can only speculate based on the descriptions and experiences provided, and cannot offer the precise diagnosis and treatment that an in-person consultation would allow.
Therefore, I recommend that when you notice the symptoms described on your skin, you should promptly visit a public hospital in your city or county and consult with a dermatologist.
Our physicians are always willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your question.
"Taiwan e-Hospital" cares about your health.

Reply Date: 2007/01/19

More Info

Understanding penile vascular tumors, particularly in the context of your situation, involves a nuanced approach to diagnosis, treatment, and prevention. Based on your description, it seems you have been diagnosed with a condition that may be either a viral wart (commonly known as "condyloma acuminatum") or a vascular tumor, such as a hemangioma.

Diagnosis
The differentiation between these two conditions is crucial. Viral warts are caused by the human papillomavirus (HPV) and typically present as rough, raised lesions that can appear in clusters. They are often treated with methods such as cryotherapy, as you have experienced. On the other hand, vascular tumors like hemangiomas are benign growths of blood vessels that can appear as red or purple spots on the skin. They may feel soft to the touch and can vary in size.

Given that you have already undergone cryotherapy without significant improvement, and considering the second opinion suggesting a vascular tumor, it is essential to conduct further evaluations. A dermatologist or a urologist specializing in penile conditions can perform a thorough examination, possibly including imaging studies or a biopsy if necessary, to confirm the diagnosis.

Treatment
If the lesions are indeed vascular tumors, treatment options may vary based on their size, location, and symptoms. In many cases, hemangiomas do not require treatment unless they cause discomfort, bleeding, or cosmetic concerns. If treatment is warranted, options may include:
1. Observation: Many hemangiomas will regress on their own over time.

2. Surgical Removal: If the lesions are bothersome or growing, surgical excision may be recommended.

3. Laser Therapy: This can be effective for superficial vascular lesions, minimizing scarring.

4. Sclerotherapy: This involves injecting a solution to shrink the tumor.

Impact on Health
Regarding your concern about the impact of these lesions on your health, benign vascular tumors generally do not pose significant health risks. However, if they cause pain, bleeding, or interfere with sexual function, it is advisable to seek treatment. The fact that you have noticed changes in size and color is a positive sign, indicating that the body may be responding to the lesions.

Prevention
Preventing the occurrence of new lesions largely depends on the underlying cause. For viral warts, practicing safe sex, including the use of condoms, can reduce the risk of HPV transmission. For vascular tumors, there are no specific preventive measures, as their exact cause is often unknown. Maintaining good overall health, including a balanced diet and regular check-ups, can help your body manage various skin conditions.

Conclusion
In summary, it is essential to clarify the diagnosis of your lesions through further evaluation by a specialist. If they are confirmed to be vascular tumors, treatment may not be necessary unless they cause issues. Regular monitoring and follow-up appointments will help ensure that any changes are addressed promptly. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and support.

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