What causes brown bruise-like spots on the penis shaft?

Question

Hello doctor,

I have three brown bruise-like spots on my penis shaft and they have been there for months and have not gone away. I tried Arnica K cream and Man1man oil but they are still there. Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern. I have seen the picture that you sent (the attachment was removed to protect the patient's identity). If there was unprotected sex then one needs to think of sexually transmitted infection and get the below test done.

TPHA (Treponema pallidum hemagglutination)

HPV DNA PCR test (human papillomavirus DNA polymerase chain reaction test).

Herpes simplex virus (HSV) one and two IgG

Herpes simplex virus (HSV) one and two IgM serum.

Chlamydia trachomatis IgG

HIV (human immunodeficiency virus) one and two antibodies screening test

HBsAg (Hepatitis B surface antigen) test.

Urine complete test.

If not an STD, it can be a simple bacterial infection. You can use ointment T Bact (Mupirocin) for local application and take a tablet of Doxycyclin 100 mg twice a day for five days. If there is itching, you need to think of a fungal infection. You can use ointment Candid B (Clotrimazole and Beclometasone) for local application and take a tablet of Cetzin (Cetirizine hydrochloride) once at night. Make sure you wash your genitalia twice a day morning and night and use normal water no cold or hot water. Do not use heavy pH soaps.

Answer 2

Hello,

Welcome back to icliniq.com.

If there is no sex involved and there is no itching then it can be mild injury due to forceful masturbation or excess compression during masturbation. Use lubricant during masturbation. You can use Calapure lotion (Calamine) for now for local applications to get back the color.

Thank you.