Black Spots on the Penis: Urology or Dermatology? - Urology

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When it comes to understanding black spots on the penis, it is essential to differentiate between various types of skin lesions and their potential implications. Based on your description, it seems you have developed a flat black spot on the glans (the head of the penis) that resembles a mole but has not changed in size recently. This can be concerning, especially if it is new or has changed in appearance.

In terms of which specialty to consult, both urology and dermatology can address concerns related to skin lesions in the genital area. Urologists specialize in the urinary tract and male reproductive system, while dermatologists focus on skin conditions. Given that your concern involves a skin lesion, starting with a dermatologist may be more appropriate. They can evaluate the lesion's characteristics, determine whether it is benign or requires further investigation, and recommend treatment options if necessary. If the dermatologist finds that the lesion is related to urological health, they may refer you to a urologist.

Regarding treatment options, if the black spot is determined to be benign, such as a melanotic macule or a harmless mole, treatment may not be necessary. However, if you are concerned about its appearance, dermatological procedures such as laser therapy or excision can be considered. Laser treatments can effectively remove or lighten pigmented lesions, but the decision should be made after a thorough examination and discussion with your healthcare provider.

It is also important to note that while most black spots on the penis are benign, any new or changing lesions should be evaluated to rule out more serious conditions, including skin cancers. Melanoma, although rare in the genital area, can occur, and early detection is crucial for effective treatment.

In addition to the black spot, you mentioned experiencing itching and abnormal discharge, which could indicate an underlying infection or other dermatological condition. These symptoms warrant a comprehensive evaluation, as they may not be directly related to the black spot but could signify a separate issue that needs addressing.

In summary, for your concerns about the black spot on your penis, I recommend scheduling an appointment with a dermatologist. They can provide a thorough examination, determine the nature of the lesion, and discuss potential treatment options. If necessary, they can refer you to a urologist for further evaluation. Additionally, if you are experiencing other symptoms like itching or discharge, be sure to mention these during your consultation, as they may require further investigation and treatment.