What is the treatment for a dark patch on the glans skin developed after circumcision surgery?

Hello,

We welcome you to icliniq family.

I appreciate the confidence you place in me for your healthcare consultation.

I have gone through the details as well as the images that you have provided (attachment removed to protect the patient’s identity), and I do understand your concern. From the images, the concern that you are having, which is dryness and dark patches, seems to be a form of eczematous dermatitis of the glans penis and penile shaft. Eczema is an allergic reaction that can occur due to external stimuli such as temperature changes, exposure to atmospheric pollutants, consumption of hot and spicy foods, dietary changes, changes in location, use of harsh soaps, excessive cleaning, and more. It can also be caused by internal factors like hormonal fluctuations, changes in temperature, stress, and sleeplessness. The key to treating eczema is to keep the skin as moisturized as possible, for which I will be providing you with medication. Eczema often has a tendency to recur based on the factors I mentioned above, but there is nothing to worry about. Consistently keeping the skin moisturized can help prevent recurrences. However, it is highly advisable to consult a doctor in person for an examination and skin testing by scraping. This procedure is not invasive and involves testing the flakes on the skin under a microscope to rule out any other possibilities. This is particularly important because it is a sensitive area that needs thorough examination. For the time being, I will provide you with medications that will help alleviate the current issue.

My advice:

1. Desonide 0.05 percent lotion: Use a very thin layer of the solution on the dry and flaky and pigmented areas only. Make sure to use it at night and for a maximum period of one week. In case of recurrence of the symptoms the same lotion can be used for one week and adequate breaks of at least two to three weeks in between each one week application is advised
2. Venusia Max cream (mango butter, cocoa butter, shea butter and aloe vera butter): This moisturizing cream can be used once or twice daily on the affected area which helps in keeping the skin moisturized and preventing any other infections which can happen due to dryness
3. Luliconazole cream: Use this cream in the morning and afternoon daily for the next 8 to 12 weeks which helps in preventing any fungal infection which can happen due to dryness and due to the fact that it is an unexposed area.
4. Capsule Seacod (cod liver oil): Consume one capsule at night after dinner for two months. This helps in hydration of the skin and preventing flakiness and pigmentation.
5. Capsule Evion 400 mg (vitamin E or Tocopheryl acetate): Consume one capsule at night once daily after dinner for 2 months. This helps in eliminating the pigmentation as well as helps in hydrating the skin.
6. Lukewarm salt water with one tablespoon of coconut oil which is mixed can be used to be applied on the affected area for five to ten minutes daily using a cotton.
7. Coconut oil can be used for massaging the affected area before taking a bath for two to three minutes which can then be kept for around ten minutes and then washed off during bathing
8. Do not use any harsh chemicals, disinfectants, hand washes, harsh soaps on the affected area as there is a possibility of dryness and will worsen the condition.
9. Mild soap of any kind can be used and should not be applied directly. They have to be mixed in half cup of water and the solution that is formed with the mixture of soap and water can be used gently to wash the area only for a maximum period of one minute.
10. Do not touch or do not pick the dry flakes as it may spread.
11. Avoid stagnation of sweat and moisture on the affected area and keep the affected area cleaned well with the towel after a bath.

As I mentioned, it is mandatory to have the affected area checked directly as well in order to examine and take the scales on the skin for testing which may or may not be needed after examination.

I hope this has helped you. Please feel free to reach me again, in case of further queries.

Thank you.

Hi,

Welcome back to icliniq.com.

Thank you for your kind words. Penile melanosis also appears as dark patches on the glans penis. However, without a test or examination, it is not appropriate to provide a confirmative diagnosis. As I mentioned earlier, a direct consultation for examination purposes is mandatory to rule out other possibilities. In the case of eczema, dry patches appear initially, which results in the formation of pigmentation. The medications I have provided should be helpful in reducing the pigmentation and further recurrences of dryness. Despite this, I highly recommend consulting a doctor in person for examination, as I mentioned previously. This is important because the area is sensitive, and no delay should be made in having it examined thoroughly for a confirmative diagnosis. In the meantime, keeping the area moisturized will help reduce further recurrences of the condition.

I hope your query got resolved. For further queries, you can consult me at icliniq.

Thank you.