Mole Removal on the Foreskin: Concerns and Expert Opinions

Issues related to penile papules surgery and associated concerns?

Hello, doctor: I would like to ask if a mole on the foreskin will grow back after removal.
Since I live in Taoyuan, I visited a nearby hospital, but the doctors who examined me, both in dermatology and plastic surgery, believe that removal is unnecessary.
They think that as long as the mole does not grow larger, itch, or show any adverse symptoms, it can be ignored.
However, won't it be too late if the mole turns into melanoma? (I don't want to become a eunuch...) Isn't prevention better than treatment?

idk, 20~29 year old female. Ask Date: 2014/08/14

Dr. Xu Weikai reply Urology

Hello, regarding hemorrhoids on the foreskin, due to frequent friction, it is recommended to consider removal.
If the physician believes it is unnecessary, it ultimately depends on your needs.
However, if it causes significant discomfort and anxiety, it may be more reassuring to have it removed and undergo a biopsy.
After all, the procedure can take only about 10 minutes and is considered a minor surgery.
If there are any unclear points, feel free to ask again for further discussion and research.
Please note that online responses should only serve as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
This message is from Dr.
Hsu Wei-Kai, Chief of Urology at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2014/08/14

More Info

When it comes to the removal of moles on the foreskin or any part of the body, it is essential to understand both the medical perspective and the potential concerns that patients may have. In your case, you have expressed anxiety about the possibility of a mole on your foreskin becoming cancerous, which is a valid concern.
Firstly, it is important to clarify that not all moles (nevi) are cancerous. Most moles are benign, meaning they do not pose a health risk. Dermatologists and plastic surgeons often follow specific guidelines when assessing moles. They typically consider factors such as size, shape, color, and any changes over time. If a mole is asymmetrical, has irregular borders, multiple colors, is larger than a pencil eraser, or has changed in appearance, it may warrant further investigation or removal.
In your situation, the doctors you consulted deemed the mole non-threatening, which is why they recommended against removal. They likely assessed that the mole does not exhibit characteristics that would raise suspicion for melanoma or other skin cancers. However, your concern about the mole potentially becoming cancerous in the future is understandable. Skin cancer, including melanoma, can develop from existing moles, but this is relatively rare.
The principle of "prevention is better than cure" is indeed a guiding philosophy in medicine. Regular monitoring of moles is crucial. If you notice any changes in the mole's appearance, such as color change, itching, bleeding, or growth, you should seek medical advice promptly. Additionally, if you have a family history of skin cancer or other risk factors, it may be prudent to have more frequent skin examinations by a dermatologist.

Regarding your concern about the mole growing back after removal, it is possible for moles to recur, especially if they are not entirely excised. However, if a mole is removed properly by a qualified healthcare professional, the likelihood of it returning is significantly reduced.
If you are still feeling uneasy about the mole, consider seeking a second opinion from another dermatologist. Sometimes, a fresh perspective can provide reassurance or a different approach to management. You might also want to discuss your concerns about the potential for skin cancer and the importance of monitoring your skin health.

In conclusion, while the doctors you consulted may not have seen a need for removal, your concerns are valid. Regular monitoring and awareness of any changes in your skin are essential. If you feel uncomfortable with the current assessment, seeking further opinions or discussing preventive measures with a healthcare provider can help you feel more secure about your skin health. Remember, being proactive about your health is always a good approach.

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