Persistent Skin Lesions: When to Seek Urological Care

Q: Persistent Skin Lesions: When to Seek Urological Care

Qiu Qiu： Hello, Cauliflower, your performance may be like this. <br>I recommend seeking a diagnosis at a medical institution. <br>If there are any unclear points, feel free to ask again, and we can discuss and research further. <br>Online responses can only serve as a reference;

The cauliflower has been present for several years, but there hasn't been much change?

I still remember the first time I saw it; there was a small cluster of tiny spots evenly distributed in one area.
They were neither painful nor itchy, so I ignored them.
After some time, I noticed that there were a few more spots in the area near the foreskin, but not many.
Now, it's been almost six years.
Although the distribution of the spots has increased, they haven't grown in size, and the original spots haven't changed either.
Currently, those tiny spots are still present, but I haven't observed any growth.
During this time, I haven't engaged in any sexual activity.
Why have these spots persisted for several years without disappearing or showing signs of growth? Is it common for such conditions to last this long? I haven't seen a doctor or received any treatment.

Qiuqiu, 20~29 year old female. Ask Date: 2016/02/11

Dr. Xu Weikai reply Urology

Qiu Qiu: Hello, Cauliflower, your performance may be like this.
I recommend seeking a diagnosis at a medical institution.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses can only serve as a reference; if necessary, it is still important to visit a medical institution for treatment.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Ministry of Health and Welfare, who cares about you.

Reply Date: 2016/02/11

More Info

When it comes to persistent skin lesions, especially in sensitive areas such as the genital region, it is essential to approach the situation with caution and seek appropriate medical advice. Based on your description, it seems that you have observed small, non-painful spots that have been present for approximately six years without significant changes in size or number. While it is understandable to be concerned about these lesions, there are several factors to consider.

Firstly, the nature of the lesions is crucial. They could be benign conditions such as pearly penile papules, which are common and harmless, or they could be sebaceous cysts, which are also typically non-threatening. However, other possibilities include conditions like genital warts, which are caused by the human papillomavirus (HPV), or other dermatological issues that may require medical evaluation. The fact that these lesions have not changed significantly over time is reassuring, but it does not eliminate the need for a professional assessment.

In general, skin lesions that persist for an extended period, especially in the genital area, should be evaluated by a healthcare provider. This is particularly important if there are any changes in the appearance of the lesions, such as color, texture, or if they become painful or itchy. A urologist or dermatologist can provide a thorough examination and may perform tests to determine the exact nature of the lesions. They can also rule out any potential infections or other skin conditions that may require treatment.

It is also worth noting that while some skin conditions can remain stable for years, others may evolve over time. Regular monitoring of the lesions is advisable, and if you notice any changes, it is best to seek medical attention promptly. Additionally, even if there has been no sexual activity, it is still possible to develop certain skin conditions due to other factors such as hygiene, skin irritation, or underlying health issues.

In terms of treatment, if the lesions are determined to be benign, no treatment may be necessary. However, if they are found to be caused by an infection or another condition, appropriate treatment options can be discussed. This may include topical treatments, cryotherapy, or other interventions depending on the diagnosis.

In conclusion, while your experience with these persistent skin lesions may not currently be causing you discomfort, it is essential to prioritize your health by seeking a professional evaluation. A urologist or dermatologist can provide clarity on the nature of the lesions and recommend any necessary treatment or monitoring strategies. Remember, early intervention can be key in managing skin conditions effectively, and it is always better to err on the side of caution when it comes to your health.

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