Penile Lesions: Is It a Hemangioma? - Urology

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Understanding penile lesions, particularly in the context of a potential hemangioma, requires a careful evaluation of the characteristics of the lesion, its history, and any associated symptoms. Based on your description, it appears that you have had this lesion since high school, and it has remained stable in size without causing discomfort during urination or sexual activity. This is an important factor to consider when assessing the nature of the lesion.

A hemangioma is a benign tumor made up of blood vessels, and it can occur in various locations, including the penis. Hemangiomas are typically characterized by their red or purple appearance and can vary in size. They are often asymptomatic, especially when they do not interfere with normal bodily functions, as seems to be the case with your lesion. Given that your lesion has not changed in size or caused discomfort over the years, it is possible that it is a benign vascular lesion, such as a hemangioma, but a definitive diagnosis would require a clinical examination and possibly imaging studies or a biopsy.

If you are considering removal of the lesion, it is essential to consult with a urologist or a dermatologist who specializes in penile lesions. The removal of a hemangioma or similar lesion can typically be done through a minor surgical procedure. The most common methods for excision include:
1. Surgical Excision: This is a straightforward procedure where the lesion is cut out along with a small margin of surrounding tissue to ensure complete removal. This method is often used for lesions that are larger or have uncertain characteristics.

2. Laser Therapy: In some cases, laser treatment can be used to reduce the size of the hemangioma or to remove it. This method is less invasive and may result in less scarring.

3. Cryotherapy: This involves freezing the lesion with liquid nitrogen, which can cause the tissue to die and eventually fall off. This method is less commonly used for penile lesions but may be an option depending on the specific characteristics of the lesion.

4. Electrosurgery: This technique uses electrical currents to cut through tissue and can be effective for smaller lesions.

Before proceeding with any treatment, it is crucial to have a thorough discussion with your healthcare provider about the risks and benefits of each method, as well as the potential for scarring and the impact on function. Additionally, since you mentioned having phimosis (a condition where the foreskin cannot be easily retracted), it may be worthwhile to address this issue concurrently, as it could affect your overall penile health and hygiene.

In summary, while your lesion may indeed be a hemangioma, a proper evaluation by a medical professional is necessary to confirm the diagnosis and determine the best course of action. Regular monitoring may also be advised if the lesion remains asymptomatic and stable. If you decide to pursue removal, your healthcare provider will guide you through the appropriate surgical options based on your specific situation.