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

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Black spots on the glans?


I have received a response from the doctor.
Currently, there has been no trend of growth, and it has remained the same for over a year.
If I go to the hospital for a consultation, should I first see a urologist or a dermatologist? If surgery is needed, will it be out-of-pocket or covered by health insurance?

A-Rong, 20~29 year old female. Ask Date: 2008/11/04

Dr. Xu Wencang reply Urology


Hello: I would like to respond as follows: I recommend that you schedule an appointment with the urology department for surgical options that are covered by health insurance.
Wishing you good health.

Reply Date: 2008/11/04

More Info


When it comes to understanding black spots on the glans, it is essential to determine whether these spots are dermatological or urological in nature. Given your situation, where the spots have remained stable for over a year without any changes, it is a positive sign. However, it is still crucial to seek professional medical advice to ensure that these spots are not indicative of a more serious condition.

In your case, if you are considering making an appointment, you might want to start with a dermatologist. Dermatologists specialize in skin conditions, and they can provide a thorough examination of the spots on your glans. They will be able to assess the characteristics of the spots, such as their color, texture, and any associated symptoms like itching or discomfort. If the dermatologist determines that the spots are related to a skin condition, they can recommend appropriate treatments or interventions.

On the other hand, if the dermatologist suspects that the spots may be related to a urological issue, they can refer you to a urologist for further evaluation. Urologists specialize in conditions affecting the urinary tract and male reproductive organs, and they can provide insights into whether the spots are benign or require further investigation.

Regarding your question about insurance coverage for potential surgery, this can vary significantly based on your location and the specific health insurance plan you have. In many cases, if a procedure is deemed medically necessary, it may be covered by health insurance. However, if the procedure is considered cosmetic or elective, it may not be covered. It's best to check with your healthcare provider or insurance company to understand what is covered under your plan.

In addition to seeking medical advice, it's essential to monitor any changes in the spots. If you notice any changes in size, color, or texture, or if you experience any new symptoms such as pain or discharge, you should seek medical attention promptly. Early intervention can be crucial in addressing any potential issues.

In summary, for the black spots on your glans, starting with a dermatologist is advisable. They can provide a thorough evaluation and determine if a referral to a urologist is necessary. Regarding surgery and insurance coverage, it's best to consult with your healthcare provider and insurance company to clarify what is covered under your plan. Remember, maintaining open communication with your healthcare providers and being proactive about your health is key to ensuring the best outcomes.

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