Managing Scarring and Pain on the Penis: Urology Insights - Urology

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There are scars on the glans?


Five years ago, I wanted to get a tattoo but was afraid of the pain, so I bought temporary tattoo ink online and applied it all over my penis.
However, I experienced an inexplicable burning pain.
When I endured the pain and washed off the tattoo ink, I discovered a wound on the glans that was about the size of a five-dollar coin.
On the right side of the penis, there was a wound approximately 3 cm wide and 4 cm long.
I applied medication myself, and it healed completely, but the skin on the glans and the right side of the penis felt noticeably different.
Over the past few years, after frequent masturbation, my penis has become very dark, and the scar on the glans has also darkened significantly.
My colleagues joke about the mole on my glans.
Two years ago, during a piercing procedure, the skin on the right side was not only dark but also thick.
The piercer mentioned that it was difficult to pierce through.
This year, I have experienced multiple instances of pain on the right side of the penis (which I believe is the cause), but it is not continuous.
The last pain episode was in early May, and today I felt a sharp pain again (lasting only a few seconds).

1.
Is there a way to remove the scar on the glans?
2.
Does the thick, dark skin on the right side of the penis that causes unexplained pain require treatment or excision?

A-Hong, 30~39 year old female. Ask Date: 2012/05/30

Dr. Lin Wenxu reply Urology


Hello: Chronic inflammation can lead to the deposition of pigments in the skin, resulting in a darker skin tone.
However, once the wound stabilizes, it typically does not continue to change or cause pain.
Based on your description, it is currently not possible to determine whether your pain is directly related to your scar tissue.
I recommend that you visit a urology clinic for a proper diagnosis from a physician, which will provide you with more accurate answers and treatment.
Wishing you peace and happiness.

Reply Date: 2012/05/30

More Info


Managing scarring and pain on the penis can be a complex issue, particularly when it involves previous injuries, scarring, and changes in skin texture. Based on your description, it seems that you have experienced significant trauma to the penile area due to the application of a temporary tattoo solution, which has led to scarring and changes in skin pigmentation. Here’s a detailed response to your questions and some insights into managing your condition.

1. Can the scar on the glans (head of the penis) be removed?
Scars on the glans can be challenging to treat due to the sensitive nature of the tissue. While complete removal of scars is often not possible, there are several treatment options that can help improve their appearance. These include:
- Topical Treatments: Over-the-counter creams containing silicone can help flatten and soften scars over time. Additionally, products with ingredients like vitamin E or aloe vera may promote healing, although their effectiveness can vary.


- Laser Therapy: Dermatologists and urologists often use laser treatments to reduce the appearance of scars. This method can help in resurfacing the skin and improving pigmentation.


- Microneedling: This technique involves using fine needles to create micro-injuries in the skin, which can stimulate collagen production and improve the texture of the scarred area.


- Surgical Options: In some cases, surgical excision of the scar may be considered, especially if the scar is causing functional issues or significant discomfort. This would typically be discussed with a urologist or a plastic surgeon specializing in genital reconstruction.

2. Is the thick, dark skin on the right side of the penis that causes pain in need of treatment or excision?
The thickening and darkening of the skin on the penis can be a result of several factors, including friction, irritation, or a response to injury. Here are some considerations:
- Dermatological Evaluation: It is essential to have a urologist or dermatologist evaluate the affected area. They can determine if the changes in skin texture are benign or if they indicate a more serious condition, such as a skin infection or a dermatological disorder.


- Pain Management: If the area is painful, it may be indicative of underlying inflammation or irritation. Treatment may include topical corticosteroids to reduce inflammation or other medications to manage pain.


- Avoiding Irritation: It’s crucial to avoid further irritation to the area. This includes being cautious with sexual activity and any other activities that may cause friction or trauma to the skin.


- Potential Excision: If the thickened skin is causing significant discomfort or is suspected to be a pathological condition, surgical removal may be an option. This decision should be made in consultation with a healthcare professional who can assess the risks and benefits.

3. General Recommendations:
- Hygiene: Maintain good hygiene to prevent infections. Gentle cleansing with mild soap and water is advisable.

- Moisturization: Keeping the area moisturized can help prevent dryness and irritation.

- Avoid Self-Treatment: While it may be tempting to self-treat with over-the-counter products, it’s best to consult a healthcare provider for appropriate recommendations tailored to your condition.

- Regular Follow-ups: Given the history of trauma and ongoing symptoms, regular follow-ups with a urologist are essential to monitor any changes and address new symptoms promptly.

In conclusion, while scarring and changes in skin texture on the penis can be distressing, there are various treatment options available. It is crucial to seek professional medical advice to ensure that you receive the most appropriate care for your specific situation. Your health and comfort should always be the priority, and addressing these concerns with a qualified healthcare provider will help you find the best path forward.

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