Red Swollen Spot on Glans: Possible Causes and Concerns - Urology

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The presence of a red swollen spot on the glans, particularly one that has persisted for two months without pain or itching, can be concerning, and it is understandable that you are seeking further clarification on potential causes and implications. While you have already consulted with urologists and dermatologists who have diagnosed it as a scar, it is important to consider a few other possibilities that could explain the symptoms you are experiencing.

Firstly, the red swollen spot could be a result of a variety of benign conditions. For instance, it might be a sebaceous cyst, which is a common occurrence in the genital area. These cysts can appear as small, raised bumps and may become red or swollen if they become inflamed. Another possibility is a condition known as pearly penile papules, which are small, benign growths that can appear around the corona of the glans and are often mistaken for other lesions. They are harmless and do not require treatment.

Additionally, a persistent red spot could also indicate a condition known as balanitis, which is inflammation of the glans. Balanitis can be caused by a variety of factors, including poor hygiene, infections (such as yeast infections or sexually transmitted infections), or irritants (like soaps or lotions). Although you mentioned that the spot is not painful or itchy, it is still worth considering whether any irritants or hygiene practices could be contributing to the inflammation.

Another important consideration is the possibility of a dermatological condition, such as lichen sclerosus or lichen planus. These conditions can cause changes in the skin of the genital area, including discoloration and swelling. While they may not always present with pain or itching, they can lead to other complications if left untreated.

Given that the spot has persisted for two months, it is advisable to continue monitoring it closely. If there are any changes in size, color, or if new symptoms develop (such as pain, itching, or discharge), it would be prudent to seek further evaluation. A biopsy may be warranted if there is any suspicion of a more serious condition, such as a neoplastic process, especially if the lesion does not respond to conservative management.

In conclusion, while the diagnosis of a scar is plausible, the persistence of the red swollen spot warrants ongoing observation and possibly further investigation. It is essential to maintain open communication with your healthcare providers and to advocate for further testing if your concerns remain unaddressed. Remember that early detection and intervention are key in managing any potential issues effectively. If you have any additional symptoms or concerns, do not hesitate to reach out to your healthcare provider for further evaluation.