Can Uneven Color of the Glans Be Treated Effectively? - Urology

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Can uneven coloration of the glans be treated?


I had a circumcision when I was young, and initially everything seemed normal.
However, I later noticed that the color of the glans at the urethral opening became darker, and as I aged, the area of darker pigmentation has increased.
Now, even the surrounding area of the glans near the urethral opening has become dull in color.
Although there are no other discomforts aside from the abnormal coloration, the noticeable color difference is quite bothersome to me.
I would like to inquire if there are any methods to improve this pigmentation discrepancy.

50 Nan, 30~39 year old female. Ask Date: 2015/09/21

Dr. Xu Weikai reply Urology


A 50-year-old male: Hello, I have noticed pigmentation on the glans or urethral opening, and the area is getting larger! It is rare to encounter such complaints.
If it is just general pigmentation, it may not require attention, but if it is melanoma, caution is necessary as it has a very high malignancy rate.
I recommend seeing a urologist or dermatologist for a diagnosis.
If it is just general pigmentation, it should be possible to remove it using specialized laser beams; however, dermatologists or aesthetic medicine specialists may have more experience in this area, as I personally do not have expertise in it.

Reply Date: 2015/09/21

More Info


Uneven coloration of the glans, particularly after a circumcision, can be a common concern for many men. The darkening of the glans, especially around the urethral opening, can occur due to various factors, including friction, hormonal changes, or even natural pigmentation variations that develop over time. While it is often a benign condition, it can lead to cosmetic concerns for some individuals.

To address your question about effective treatments for uneven coloration of the glans, there are several approaches you might consider. However, it is crucial to consult with a qualified dermatologist or urologist before starting any treatment, as they can provide a proper diagnosis and recommend the best course of action based on your specific situation.

1. Topical Treatments: There are various topical agents that can help lighten hyperpigmented areas. Creams containing ingredients like hydroquinone, kojic acid, or azelaic acid are often used to treat skin discoloration. However, these treatments should be used with caution, especially in sensitive areas like the glans, and under the supervision of a healthcare professional.

2. Chemical Peels: A dermatologist may recommend chemical peels that use mild acids to exfoliate the skin and promote the growth of new, evenly pigmented skin. This method can be effective but should be performed by a trained professional to minimize the risk of irritation or adverse effects.

3. Laser Therapy: In some cases, laser treatments can be used to target and reduce pigmentation in specific areas. This method can be effective for various skin types and can provide more immediate results compared to topical treatments. However, it is essential to discuss the potential risks and benefits with a dermatologist.

4. Microdermabrasion: This is a less invasive procedure that involves exfoliating the outer layer of skin to promote new skin growth. While it may not be as effective for deeper pigmentation, it can help improve overall skin texture and tone.

5. Natural Remedies: Some individuals explore natural remedies, such as aloe vera or vitamin E oil, which are believed to have skin-lightening properties. However, the efficacy of these treatments is often anecdotal, and results can vary significantly from person to person.

6. Lifestyle Changes: Maintaining good hygiene and protecting the area from friction can help prevent further darkening. Wearing loose-fitting underwear and practicing proper hygiene can minimize irritation and promote healthier skin.

7. Consultation with a Specialist: Given that the discoloration has progressed over time, it is advisable to consult with a urologist or dermatologist who specializes in skin conditions. They can assess the area for any underlying issues and recommend appropriate treatments tailored to your needs.

In conclusion, while uneven coloration of the glans can be treated effectively, it is essential to approach the situation with care. Consulting a healthcare professional is the best way to ensure that you receive safe and effective treatment options. They can help you understand the underlying causes of the discoloration and guide you toward the most appropriate solutions for your concerns. Remember, self-treatment without professional guidance can lead to complications, especially in sensitive areas.

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