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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Brown Spots On The Penile Shaft?

Hello Dr., I have had a couple of brown spots on my penile shaft for a long time now. Recently I have a new partner so have been quite sexually active and have noticed some more spots/patches. I m worried that it is (Bowenoid papulosis) I am travelling around Asia at the moment so it will be difficult to see a doctor. Thanks for your help.
Mon, 22 Apr 2019
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General Surgeon,  's  Response
Hi,

Now most importantly, it is surely not looking like a fungal infection.
The pictures are not very clear but the possibilities that come to my mind are that either it is trauma-induced ulceration or it could be herpes.
My first possibility is surely that of a trauma-induced infection.
Now to rule out herpes, I would like to know if you noticed development of any fluid filled blisters over the affected areas prior to the scabbing that you noticed.
Also since you have already been tested for herpes,I am sure the blood reports will be of help to us in confirmation of the diagnosis.
At present, local cleaning of the affected area is very important.
You need to clean the area with lukewarm saline water and apply a topical antibiotic cream like neosporin or mupirocin over the affected areas.
This will help in controlling the local infection.
I am sure it should heal with proper local antiseptic care.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein, General Surgeon

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What Causes Brown Spots On The Penile Shaft?

Hi, Now most importantly, it is surely not looking like a fungal infection. The pictures are not very clear but the possibilities that come to my mind are that either it is trauma-induced ulceration or it could be herpes. My first possibility is surely that of a trauma-induced infection. Now to rule out herpes, I would like to know if you noticed development of any fluid filled blisters over the affected areas prior to the scabbing that you noticed. Also since you have already been tested for herpes,I am sure the blood reports will be of help to us in confirmation of the diagnosis. At present, local cleaning of the affected area is very important. You need to clean the area with lukewarm saline water and apply a topical antibiotic cream like neosporin or mupirocin over the affected areas. This will help in controlling the local infection. I am sure it should heal with proper local antiseptic care. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon