HomeAnswersUrologypenile disordersMy penis has spreading, raised, flaky patches. What could it be?

What causes spreading, raised, flaky patches on the penis?

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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

iCliniq medical review team

Published At October 18, 2022
Reviewed AtJanuary 17, 2024

Patient's Query

Hi doctor,

I noticed raised, flaky patches on my penis that started spreading. It has been like this for the last four weeks. The first patch started on the front of my shaft then it kept increasing. What could this be?

Please help.

Hi,

Welcome to icliniq.com.

I went through your query and understood your concern.

Those are Fordyce spots, and it develops in the glans penis. They are small painless spots. There is nothing to worry about. It will remain for some time and will go away on its own. There is no specific duration for how long it will remain. Also, it does not require medical treatment. In addition, it does not spread through sexual contact.

Kindly follow up if you have further queries.

Thanks and regards.

Patient's Query

Hi doctor,

Thank you for your reply.

I visited a doctor who told me that raised plaque was a fungal infection. I underwent treatment for it, but it has not helped. Are we looking at the same pictures? Because it is cracking and peeling.

Please give your opinion.

Hi,

Welcome back to icliniq.com.

No, it is not a fungal infection. Those are Fordyce spots (attachment removed to protect the patient's identity), but fungal infections can also occur simultaneously. Fungal infection causes pain, skin sloughing, inflammation, and itching, which you do not have. If you have skin cracks, I suggest you to apply vitamin E cream (moisturizer), which will promote healing. Also, for lesions in the genitalia, I suggest you to apply vitamin E cream. Kindly consult a specialist, talk with them and take the medications with their consent.

I hope this has helped you.

Thanks and regards.

Patient's Query

Hi doctor,

Thank you for the reply.

I have attached the pictures for your reference.

Thank you.

Hi,

Welcome back to icliniq.com.

I did not see this pimple (attachment removed to protect the patient's identity). Instead, I was looking at the lesion on the glans penis. This seems to be a fungal infection that causes itching and irritation. This needs to be treated with an antifungal cream. In addition, I suggest you to wash your scalp with antifungal shampoo as well.

I hope this was helpful.

Patient's Query

Hello doctor,

Thank you for your response.

I have treated it for two weeks, and there has been no change. I consulted two doctors; one said it was a fungal infection and gave me cream, but it did not work. The other doctor said it was not a fungal infection. I am worried whether it is a cancerous growth.

Thank you.

Hello,

Welcome back to icliniq.com.

Have you done the screening for sexually transmitted infections?

Thank you.

Patient's Query

Hello doctor,

Thank you for your response.

Yes, I had done the screening for STDs. What does it look like to you from the recent picture? Does it look like cancer?

Thank you.

Hello,

Welcome back to icliniq.com.

It does not look like cancer. Cancer is rare; it presents late in life and looks like a fungating mass. First, you must do blood tests for syphilis, herpes simplex virus (HSV), and ureaplasma. After that, we can know if it is a sexually transmitted infection or not. If it is negative, proceed with biopsy and histology.

Thank you.

Patient's Query

Hello doctor,

Thank you for your response.

It usually appears after wearing condoms, and I am unsure if that caused the fungus.

Thank you.

Hello,

Welcome back to icliniq.com.

Yes, it may be a fungus or a sexually transmitted disease (STD).

Thank you.

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

Dr. Samer Sameer Juma Ali Altawil
Dr. Samer Sameer Juma Ali Altawil

Urology

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