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Urology  (Expert Forum)
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Small dark red 'spot' at base of penis shaft
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Small dark red 'spot' at base of penis shaft

by shapka, May 29, 2003 12:00AM
Hey Doc, a quick one here. On occasion (and I noticed it again just tonight, prompting the question), I seem to get a flare up of a very small, almost flat, dark red spot (maybe 2mm long, less than 1 mm wide, so not really a spot, per se), located almost at the base of my penis, approximately at that point just between the mostly hairless skin on the shaft of my penis, and the very hairy genital area at the base. It also happenes that this spot directly overlays a small capillary, so this could possibly skew my observations - indeed, at certain angles it just sort of disappears.  At other angles, it looks like a clogged pore/follicle, but no hair every seems to grow out of it.  Any thoughts and/or recommendations would be appreciated.  Thanks and regards.

by Kevin Pho, MD, May 29, 2003 12:00AM
Hello - thanks for asking your question.

Without seeing the lesion it is impossible to say what it is.  Here are several considerations.

There are many infectious etiologies that can result in genital lesions.  Ulcers can be the manifestation of syphillis, herpes or chancroid.  Each can be diagnosed with appropriate culture or blood tests and treated with appropriate antibiotics or antiviral therapy.  

If the lesion is more raised, then the possibilities may be a genital wart, molluscum (caused by a virus), a raised blood vessel or folliculitis.  The lesion should be inspected by your personal physician, urologist or dermatologist.  If the cause is folliculitis or cellulitis, then antibiotics may help.  

Again, without seeing the lesion, I cannot be more specific.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.
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