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How Can White Raised Patches Over The Penis Be Treated?
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Thanks so much
Thank you for the query.
White patch over the penis which is slightly raised would possibly be lichen sclerosus et atrophicus (balanitis xerotica obliterans).
And if the white patch is not raised and is de-pigmented then there is a possibility of it being a vitiligo (leucoderma).
You have provided with good information but I would like to know a few more things as this would help me in suggesting you better.
1) Is there any other patch on the body?
2) Is the patch de-pigmented (milky white)?
3) Any symptoms (like itching)?
You can also consider sending me a picture of the lesion.
You have a feature to upload the images by yourself at the right side of the query page, please utilize it so that I can answer your queries better.
Perhaps a visit to competent Dermatologist can also confirm the diagnosis.
As far as treatment of the lichen sclerosus is concerned, potent topical steroid is the drug of choice, but the results are not very satisfactory.
You can confirm the diagnosis by doing a skin biopsy, that also help to rule out any malignancy.
At times patient develops phimosis and would need to undergo circumcision.
For Vitiligo, I would prefer a mild topical steroid only.
Please reply back with the above answers and a picture of the lesion as this will help me in answering you better.
Regards,
Dr.Bharat chawda
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Thank you for the reply,
I have gone through the photos and you were right regarding the pics, they are not very clear, except one where I could make out some de-pigmented lesions. And yes even the frenulum stretching on one side. This should not be of worry at all and should be regarded as normal.
I wish the picture were more clear .
As you said that the lesions are not milky white, then the possibility of pre-vitiligo is more likely.
Pre-vitiligo is a condition in which the color is not exactly milky white but has other feature that of vitiligo(leucoderma). Lichen scleroses is also a condition where we see milky white patches. In lichen scleroses the skin is not so smooth and the skin should not come out.
Since you said that you feel better when you remove the top layer of skin, I was wondering whether we are dealing with candidiasis(fungal infection). This is the only condition where you can remove the top whitish layer. But such a long history does not favor this.
I would appreciate if you can send a more clear picture if possible.
I would advise you to discuss all the three possibilities with a competent dermatologist & come to a conclusion.
Wish you good health.
Regards,
Dr.Bharat chawda.
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Thank you for the query,
I feel the frenulum is slightly shifted to one side ,but that should not be a problem at all.I hope you don't face any problem like pain while erection.If there are no such symptoms I think you can leave it as it is.
I am sorry to say ,but the picture was still not clear.
Regarding lichen sclerosus you should rule it out by consulting any good dermatologist.There are times when lichen sclerosus can lead to urethreal meatus stenosis (narrowing of urethral lumen).Lichen sclerosus looks like ivory white in color .
I hope this answers your query.
Wish you good health.
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