Black Spots on the Penis: Causes and Concerns - Urology

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When it comes to the appearance of black spots on the penis, particularly on the glans (the head of the penis), it is essential to approach the situation with caution and seek medical advice. The symptoms you describe—smooth, flat black spots that are painful to touch and are increasing in number—could be indicative of several conditions, some of which may require medical intervention.


Possible Causes of Black Spots on the Penis
1. Pearly Penile Papules: These are small, benign bumps that can appear around the glans. They are usually painless and do not require treatment. However, they are typically not black and are more flesh-colored.

2. Fordyce Spots: These are small, painless, pale bumps that are sebaceous glands and are a normal anatomical variant. They are not typically black but can sometimes appear darker depending on the skin tone.

3. Melanosis: This is a condition where there is an increase in melanin production, leading to dark spots. It is usually benign but can sometimes indicate other underlying issues.

4. Skin Conditions: Conditions such as eczema, psoriasis, or dermatitis can cause changes in skin pigmentation, including dark spots. These conditions may also be associated with itching, redness, or irritation.

5. Infections: Certain sexually transmitted infections (STIs), such as herpes or syphilis, can cause lesions or spots on the genital area. If the spots are accompanied by other symptoms like discharge, pain during urination, or flu-like symptoms, it is crucial to seek medical attention.

6. Skin Cancer: While less common, dark spots that change in size, shape, or color can sometimes indicate skin cancer, including melanoma. This is particularly concerning if the spots are painful, bleeding, or have irregular borders.


When to Seek Medical Attention
Given that you are experiencing pain and the number of spots is increasing, it is advisable to consult a healthcare professional, preferably a dermatologist or urologist. They can perform a thorough examination and may recommend tests such as a biopsy if there is concern about malignancy or an infection.


What to Expect During a Medical Consultation
During your visit, the doctor will likely ask about your medical history, any recent sexual activity, and whether you have experienced other symptoms such as itching, burning, or discharge. A physical examination will be conducted, and based on the findings, the doctor may suggest further tests or treatments.


Conclusion
While many causes of black spots on the penis are benign, the symptoms you describe warrant a professional evaluation to rule out any serious conditions. Early diagnosis and treatment are crucial for any underlying issues, especially if they are related to infections or skin cancer. Do not hesitate to seek medical advice, as it is the best way to ensure your health and peace of mind.