HomeAnswersInternal Medicineblack spotsIs harmless black spot on the penis a worrisome issue?

I have tiny hard black spot on penis with no harm and it does not go away. What could it be?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At May 13, 2020
Reviewed AtJanuary 16, 2024

Patient's Query

Hello doctor,

I have a tiny hard spot on the head of my penis. It does not bother me unless I mess with it. It has been there for many many years, but just recently I have noticed a bit of pain when I am just sitting around. It is probably the size of a pinhead and it is dark in color. I have not had a sexual partner in a very long time (years). It does not seem like a boil or a pimple. The very top of the spot is black. Please suggest.

Hello,

Welcome to icliniq.com.

I can understand your concern. According to your statement, you have been suffering from a tiny hard spot on the head of the penis. This type of tiny spot can result from various reasons such as mole produced from over secretion of melanin by skin cells. They are harmless and nothing to be worried.

Penile papule appears around the penis head which does not itch or produce any fluid. They may disappear as time passes.

Angiokeratoma is a tiny red bump that appears when blood vessels near your penile skin become dilated. They are rough in nature and may become thicker over time.

Lymphocele has resulted from blockage in the lymph channel near your penile head. It does not need any treatment and dissolves over time.

Peyronie's disease is resulted from scar tissue which is found on the top of the penis that tends to harden due to calcium deposition.

Treatment is needed when it makes erection of the penis difficult. Again your penile tiny hard spot may be resulted from a pimple, cyst, or STD (sexually transmitted disease). As your penile spot does not create any difficulty in your regular performance so it is nothing to be worried and needs no treatment. I think it will disappear over time.

You can undergo FNAC (fine needle aspiration cytology) or biopsy from a tiny hard spot on the top of your penile head.

Patient's Query

Thank you doctor,

The only issue I have is that it has been there for a long time and it does not seem to be going away. Is there any at home treatments you could recommend?

Hello,

Welcome back to icliniq.com.

I have already mentioned that it does not need any treatment as I think it is harmless but you can use lotion, moisturizer, or aloe vera.

Take a bath every day.

Wash your private part with mild soap.

Limit alcohol or tobacco intake.

Apply corticosteroid creams like Hydrocortisone and antifungal cream like Clotrimazole.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zubayer Alam
Dr. Muhammad Zubayer Alam

Pulmonology (Asthma Doctors)

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