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Dermatology  (Expert Forum)
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Brown markings on Glans
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center Brookline - MA
Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.

Brown markings on Glans

by DoubleWhammy, Apr 25, 2004 12:00AM
I have two problems, one I was born with, the other I caused due to youthful stupidity.  I am in my late thirties now and want to see what I can do about one of them.

I was born with what appears to be two urethral openings on the glans.  I am able to urinate and ejacualate with no problems.  The two openings are placed very close to each other with one on top of the other separated by a strand of skin.  If that strand was cut, it would form one large opening.  I am not concerned with this problem. It is what it is.  I don't want to go through any surgery to correct it.  What concerns me is the second problem.

As a teenager, I had an instance where aggressive masterbation (masturbation) without any lubricant caused irritation and bleeding of the glans.  I now have 3 large brown spots, one on top of the glans and two on the bottom.  I have consulted with a dermatologist and he suggested a possible treatment with lasers for removing the brown spots.  Is this possible?  Has it been done before?  Who would perform such a procedure, a plastic surgeon or a dermatologist?  Are there specialists in this area? Should I try any bleaching creams first even though he did not suggest any?

Any help would be appreciated.

by Alan Rockoff, MD, Apr 26, 2004 12:00AM
You could try a bleaching cream, though it probably wouldn't work.  Laser treatment is probably your best bet--it's simple and safe.  Many dermatologists have the proper equipment.  A dermatologist who removes age spots with lasers could counsel you, prescribe topical creams as a trial, and follow up with laser if they don't work.  I think there's a reasonable chance of success with one mode or the other.

Best.

Dr. Rockoff
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