Which treatment is safe for penile scars and pigmentation?

Question

Hello doctor,

Eighteen months ago, I had reconstructive surgery on my penis to treat penile curvature. Two weeks post-operation, the hematoma exploded, so I got a wound breakdown. Skin necrosis ensued, and I lost a small part of my penile skin. No graft or flap was used.

I now have hyperpigmentation and a very noticeable wound scar. For the hyperpigmentation, I have been using Hydroquinone and Mederma Intense Patch. I have been using it for two weeks. There is an improvement, but the skin is getting sensitive, red, and inflamed. Should I still use it? If not, how to remove hyperpigmentation from the penis skin?

What about the wound scar? Will it shrink and disappear with time, or are there other solutions? I need to know what I can do to remove both hyperpigmentation and wound scars from the penis skin. I have attached pictures for reference.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

It is good that you have explained the condition in full detail and with good quality pictures (attachment removed to protect patient identity). First of all, the Hydroquinone used over the skin, especially over the thin penile skin, does have side effects. I advise you not to use it for more than 15 days with a month's gap in between.

Suppose it is along with any kind of steroid, then not more than 10 days. The scar seems to be still in an immature state. I suggest the onion peel-based ointment, such as the Contractubex Gel, should work. You can use it twice daily.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concerns.

I would ask you to wait for at least one to one and a half years. Actually, it takes two years for any scar to mature and come to a pre-injury state. Only then can you come to know the amount of deviation you have from normalcy. After that, you can consult for laser therapy if required.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.