Black Spots on the Penis: When to Seek Medical Advice - Urology

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When it comes to black spots on the penis, it is essential to approach the situation with caution and awareness. The appearance of a black spot, especially one that has changed in size or shape, warrants a thorough evaluation by a medical professional. In your case, the black spot on the glans (the head of the penis) that has grown larger but is not painful or itchy could be a variety of things, including a benign mole, a seborrheic keratosis, or a more concerning condition such as a melanoma, which is a type of skin cancer.


When to Seek Medical Advice
You should seek medical advice if:
1. Change in Size or Shape: Any change in the size, shape, or color of a spot on your skin, especially if it becomes larger or irregular, should be evaluated.

2. Persistent Symptoms: If the spot persists over time without any signs of improvement, it is advisable to consult a doctor.

3. Associated Symptoms: If you experience any additional symptoms such as pain, itching, bleeding, or discharge, you should see a healthcare provider immediately.

4. Family History: If there is a family history of skin cancer or other skin conditions, it is prudent to have any new or changing spots evaluated.


Which Specialist to See
In your case, you can choose to see either a urologist or a dermatologist. Here’s a brief overview of both:
- Urologist: This specialist focuses on the urinary tract and male reproductive organs. If you have concerns specifically related to the function or health of your penis, a urologist would be appropriate.

- Dermatologist: This specialist deals with skin conditions. If the primary concern is the appearance and nature of the black spot, a dermatologist would be well-equipped to evaluate and treat skin lesions.


Diagnostic Approach
During your appointment, the doctor will likely perform a physical examination of the spot. They may ask about:
- The duration of the spot.

- Any changes in its appearance.

- Any associated symptoms.

- Your medical history and any relevant family history.

In some cases, a biopsy may be necessary to determine the nature of the spot. This involves taking a small sample of the tissue for laboratory analysis.


Treatment Options
If the black spot is determined to be benign, treatment may not be necessary. However, if it is causing you distress or if it is a cosmetic concern, options such as laser removal or cryotherapy may be discussed. If it is found to be malignant, the treatment plan will depend on the type and stage of the cancer, which may involve surgical removal, radiation, or other therapies.


Conclusion
In summary, while the black spot you describe may not be immediately alarming, it is essential to have it evaluated by a healthcare professional. Whether you choose to see a urologist or a dermatologist, getting a proper diagnosis is crucial for peace of mind and appropriate management. Remember, early detection is key in addressing any potential skin issues, particularly those that could be serious. Don’t hesitate to seek medical advice, as it is always better to be safe and informed regarding your health.