Bright red moist spot on Penis Head. Please help!

Hi,

I discovered a bright red moist spot on the gland of my penis about a year ago and I did not think anything of it except that it was probably a rash or friction caused. I did not know when it appeared as I regrettably have not always wash behind my foreskin since I've always had a really tight foreskin (phimosis which I recently discovered).

However, recently, I decided to look more into the issue as it never went away. I came across Erythroplasia of Queyrat, Bowen's disease and Balanoposthitis. I am very worried now that it may be some form of malignant growth. I don't know what to do, should I go to urgent care? I plan to make an appointment to see a urologist but am not sure how quick I can see one.

The spot is bright red, moist, does not hurt or itch or cause any discomfort. It is mainly flat or very slightly raised. There are no signs of pus or infection except that it is bright red and moist. The borders are well defined and there is some redness on the foreskin where it comes in contact with the spot. It has definitely been there for at least a year without any changes. Also, I am a 26 year old male.

I've attached a picture. Any advice or comments are very much appreciated. Thank you.

[Bhupinder Kaur, MD]

Hello,
The symptoms are suggestive of balanoposthitis. It may have any of multiple bacterial or fungal origins or be caused by contact dermatitides. Examination of the glans (glands) and the prepuce often reveals a red, moist macular lesion. KOH slide preparation and biopsy of the lesion are needed to confirm the diagnosis. The other differential is erythroplasia or Querat.

Please do consult a urologist for the confirmation of diagnosis as it’s not possible to make a diagnosis online.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.