Black spots on body, scrotal hairs and LASER, veins on the penis, small bumps under the penis, penile papules, phimosis


QUESTION

Current age- 18.

I have attached a few pictures..(1).I want to know what are those black spots and what is the cause for their increase in number.(2)Its quite embarassing to confess that I had shaved my scrotum when I was like around 12 or 13..and now a lot of hairs are growing down there. Is there any topical cream or any other safe method to get rid of it permanently(3)what are those small hairs growing on the under side of the penis and 3greenish veins elevated on the penis and small bumps on the under side of the penis? (4)are those blisters-penile papules and what can be done to treat and eradicate smegma?(5)am I a phimosis patient and is there any non surgical method to treat it?.please check them and let me know how much am I to pay for the consultation./And I request you not to put up any of those pictures anywhere./. Thank you

ANSWER

1. The black spots look like simple moles. Unless they are rapidly changing, I would not worry.

2. Hairs on the scrotum and penis are extremely common and is not a disease. There is no way to get rid of them painlessly. You can have Light Sheer diode LASER therapy but it is quite painful in that area.

3. And 4. – I agree they are harmless perly penile papules. I am quite impressed by your self diagnosis. Again one cannot treat these unless one burns these off under local anaesthetic. http://dermnetnz.org/site-age-specific/penile-papules.html

4. I am not sure you definitely have phimosis. Are you saying that you cannot pull back your foreskin completely? If you cannot- then yes you have phimosis. But I would suggest you use ‘Clobetasol propionate’ ointment once daily and try manually gently pulling the skin down a little bit everyday with a little bit of lubrication. Do not do it too much if you pull too much and it bleeds or if it cuts, you will have more problems!! Most physiological phimosis resolve in adult life and do not need treatment. But if it doesn’t then you are better off getting Circumcision. There is no ‘treatment for smegma as it is not a ‘disease’.

Best of luck.

Regards

Dr.Sasi Attili

Consultant Dermatologist (GMC Registration No.: 6036602)

About Dr.Sasi Attili

Dr. Sasi Kiran Attili is the founder of Online Skin specialist LTD and is the principal consultant on this website panel. He is a UK trained/ accredited consultant dermatologist & Dermatopathologist. He is a member of the British Association of Dermatologists. He currently works as a Private Consultant Dermatologist in Leeds. Appointments can be booked by calling on 07952708911.
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