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Suggest Treatment For Pimples On The Penis

Posted on Mon, 14 Aug 2017

Question: Just an incidental finding of the papule over ventral side of penis, it locates exactly midline in connection with the raphe, it is totally symptomatic.
Please kindly suggest what is it and do I need to do anything. Thank you.

Picture of the papule:
https://photos.app.goo.gl/zPOifvjPJ7w1auOx2

Answered by Dr. Dr. Rahul Kumar (2 hours later)

Brief Answer:
Please mail the photograph

Detailed Answer:
Hello
Thanks for the query.
Probably you have developed molluscum contagiosum.
It is a viral infection.
Your description is suggestive of that.
Sorry I am not able to retrieve photograph from the link you have mentioned.
Can you please upload a photograph of the involved area here.
There is an option to upload photograph on right side of query page.
You can also mail the photograph on YYYY@YYYY with subject as ATTN DR XXXXXXX XXXXXXX
Waiting for your response.
Thank you.

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Dr. Rahul Kumar (11 minutes later)

Thank you, I have just sent u the photo by email.

I have searched on web, can it be raphe cyst as it exactly connect to the raphe.

I dont have sex for current 6month, is the molluscum contagiosum cause by sex and how can I treat it?

Sorry I mean totally asymptomatic about the lesion

Im actually a medical doctor, you may talk to me with medical terms. Thank you.

Answered by Dr. Dr. Rahul Kumar (26 hours later)

Brief Answer:
raphe cyst

Detailed Answer:
Hello
Thanks for the photograph.
It is not molluscum.
Indeed it ia raphe cyst.
As you know it is harmless so treatment is usually not required.
For cosmetic purposes it can be easily removed using a radiofrequency ablator.
Please meet a dermatologist and get it removed.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Rahul Kumar (18 hours later)

Thank you for your reply.

As it is small and asymptomatic, im not keen for surgery at this moment, do you have any experience that spontaneous remission can occur?

Another ddx I come up is could that be a penile lymphocele as I did have masturbation occasionally?

Thank you again!

Answered by Dr. Dr. Rahul Kumar (12 hours later)

Brief Answer:
Nothing to worry

Detailed Answer:
Hello
Penile lymphocele is usually transient where the swelling enlarges after masturbation and decreases in size later while cyst remains the same.
Both are usually asymptomatic and resolve on its own.
Just relax you don't need to worry much.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Rahul Kumar (2 days later)

Thanks again for your expert opinion.

There is occasionally some serous to gelatinous discharge from the the lesion, does it even more suggestive of the diagnosis of raphe cyst?

And in your experience, how long does it usually take for spontanoeus resolution?

Thank you very much.

Answered by Dr. Dr. Rahul Kumar (12 hours later)

Brief Answer:
9 to 12 months

Detailed Answer:
Hello
Serous discharge is common from cyst.
It usually takes 9 to 12 months for spontaneous recovery.
If it doesn't recover in that period or increases in size, I prefer radiofrequency ablation.
Let me know if you have any other doubts.
Thank you.

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Above answer was peer-reviewed by : Dr. Yogesh D