Moles on the Penis and Scrotum: When to Worry?

Moles on the penis and scrotum?

Hello Doctor: I would like to inquire about the moles on my penis and scrotum.
I usually don't pay much attention to the moles on my body, but after reading online that black moles can easily become melanoma, I checked myself and found about twenty moles of various sizes scattered on my penis and scrotum.
Among them, there are two moles on the foreskin that are about 1 cm in diameter, which I have had since childhood, along with some faint black spots.
The others are not particularly noticeable and are in hidden areas, so I assume they developed later, all being under 0.5 cm.
On the scrotum, there are small black dots, and since they are in areas prone to friction and concentrated in the genital region, I am particularly worried.
After seeing a dermatologist, the doctor said they appear benign but advised monitoring or considering removal.
Is it abnormal to have many moles in the genital area? I've heard that many people also develop them, but some say they can become malignant.
Should I consult a urologist to have all the moles on my penis and scrotum removed? Is the cost of such surgery high? Would it need to be done in multiple sessions? Thank you!

leo, 20~29 year old female. Ask Date: 2012/03/01

Dr. Wu Yuxin reply Dermatology

Having multiple moles does not necessarily indicate a higher risk of malignancy.
Each mole should be evaluated individually.
It is generally recommended to regularly monitor changes in the color, size, shape, and border integrity of the moles.
If a dermatologist has assessed the moles and determined they appear benign, there is typically no need for excessive concern.
However, if removal of a larger mole would provide peace of mind, you may consider having it excised for further examination.

Reply Date: 2012/03/01

More Info

When it comes to moles on the penis and scrotum, it is understandable to feel concerned, especially with the information available about skin cancer and melanoma. Moles, or nevi, are common skin lesions that can appear anywhere on the body, including sensitive areas like the genital region. Here’s a comprehensive overview to help you understand when to worry about these moles and what steps to take.

Understanding Moles
Moles are typically benign growths that can vary in size, shape, and color. They are formed by clusters of melanocytes, the cells responsible for producing pigment in the skin. Most people have moles, and they can appear during childhood or adolescence and may change over time.

When to Worry
While most moles are harmless, certain characteristics can indicate a potential issue, such as melanoma, a serious form of skin cancer. The ABCDE rule is a helpful guideline for assessing moles:
- Asymmetry: If one half of the mole does not match the other.

- Border: Irregular, scalloped, or poorly defined edges.

- Color: A variety of colors (brown, black, tan, red, white, or blue) within the same mole.

- Diameter: Moles larger than 6mm (about the size of a pencil eraser) should be evaluated.

- Evolving: Any changes in size, shape, color, or elevation, or new symptoms such as bleeding, itching, or crusting.

In your case, the presence of multiple moles, especially if they have changed or are in areas prone to friction, warrants careful observation. The fact that you have been advised by a dermatologist that they appear benign is reassuring, but ongoing monitoring is essential.

Next Steps
1. Regular Monitoring: Keep an eye on your moles for any changes. Take photographs to track their appearance over time. If you notice any changes that fit the ABCDE criteria, consult your dermatologist immediately.

2. Consult a Urologist: If you have concerns specifically about the moles on your penis and scrotum, it may be beneficial to consult a urologist. They can provide specialized care and advice regarding any potential risks associated with moles in these sensitive areas.

3. Consider Removal: If the moles are bothersome, causing discomfort, or if there is any uncertainty about their nature, discussing removal options with your healthcare provider is a good idea. Surgical removal can be performed for diagnostic purposes (to rule out malignancy) or for cosmetic reasons.

Surgical Considerations
- Cost: The cost of mole removal can vary widely based on factors such as the location, the complexity of the procedure, and whether it is performed in a clinic or hospital setting. It’s best to check with your insurance provider and the healthcare facility for specific costs.

- Multiple Sessions: Depending on the number of moles and their locations, it may be necessary to perform the removal in multiple sessions. This is particularly true if the moles are large or if there are many to be removed.

Conclusion
Having multiple moles on the penis and scrotum is not uncommon, and while many are benign, it is crucial to remain vigilant. Regular check-ups with a dermatologist or urologist can help ensure that any changes are caught early. If you are considering removal, discuss your options thoroughly with your healthcare provider to make an informed decision that aligns with your health needs and concerns. Remember, proactive monitoring and communication with your healthcare team are key to maintaining your health and peace of mind.

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