Scar... or not?

So about a year ago I was working in a warehouse where i ended up sustaining a slight injury to my penis. As I slid between two pallets, one being raised to waist level by a forklift in front of me and one behind me that was on the floor I ended up rubbing against the wood of the pallet in front of me and tearing off a small amount of skin on the bottom left side of my shaft. At the time I didnt think much of it, i cleaned it up and went about my work.

While it was healing however i was constantly scratching and picking at it which i know didnt help matters any.  The worst part is yet to come. I really didnt like the look of it as it was healing and somehow the unintelligent thought crossed my mind that if i reinjured the area down there it would somehow heal better if I just left it alone this time. I was definitely wrong to say the least. I decided to take a very small pair of scissors and "clean" the area up a bit in the hopes that it would heal better the second time around. All i ended up doing was making it bigger and worse off than it originally was. At the same time I was down there I decided to make two more slight "adjustments" to other areas which was pretty much the stupidest move I could have done. So I ended up with 3 slightly raised white scars when it healed. The original one being the biggest and the other two being of smaller size.

I went to see my doctor and after hearing about the half the story he told me I had genital warts. Based on the tissue I removed myself and the lack of evidence that supports genital warts appearing from flesh wounds I dont trust what he said

The tissue that was removed was fairly deep so is there a chance that the slightly raised white tissue that grew back is infact scar tissue and not genital warts?

If a biopsy of the tissue were to be performed is there any way to 100% differentiate scar tissue to wart tissue? Since there is no test for HPV i need some way of proving what kind of tissue it is, any suggestions?

[Alan Rockoff, MD]

We know you had an injury at work, and we know you picked and attacked it with fingers and scissors, so there's no reason not to think these are scars.  I suggest you see another doctor who knows what genital warts look like for another opinion--I just can't see, based on your description, why you should need a biopsy.  As for the scars, they are not likely to have an functional significance other than the way they look, so I suggest you ignore them (once they're definitively diagnosed.)

Take care.

Dr. Rockoff