Q. A part of my penis discolored after a reconstructive surgery. How to treat this?

Answered by
Dr. Kakkar
and medically reviewed by iCliniq medical review team.
Published on Oct 30, 2017 and last reviewed on: Oct 09, 2018

Hello doctor,

Four months ago, I had a reconstructive surgery on my penis for congenital penile curvature. I had some complications such as hematoma and scar leakage, but I am good now. When my penis healed, a part of it became brown/black (discoloration). Is there a way to reverse this discoloration? Maybe what I am facing is post-inflammatory hyperpigmentation. I tried multiple creams and it did not work. Can I treat this discoloration with laser treatments such as IPL or laser resurfacing? How many sessions do I need? I attached some pictures. Thanks in advance.

Dr. Kakkar

Dermatology HIV/AIDS Specialist Venereology
#

Hello,

Welcome to icliniq.com.

I have noted your concern and I have viewed the images (attachment removed to protect patient identity).

  • I would like to know what are all the creams you have tried? Was a skin graft used? If yes, was it a full thickness or split skin graft? And, is the discolored portion the skin graft itself?
  • However, if the skin graft was not used, then perhaps the discoloration is due to hemosiderin derived from hemoglobin breakdown.
  • In any case, I suggest you use a moderately potent topical steroid cream such as Mometasone furoate 0.1 % or Triamcinolone acetonide 0.1 % cream once daily. In addition, I suggest you use Tretinoin 0.025 % cream at night.
  • If these do not help, after a fair trial of two to three months, then CO2 laser resurfacing or Q switched Nd: Yag laser sessions may be considered. IPL (intense pulsed light) will not help with the discoloration.

Regards.

For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist

Thank you doctor,

No skin graft was used at all. The wound was small and now it has healed. I used Man1 Man oil. It is a cream used specifically for the penis. What is the best and fastest way to get rid of the discoloration? Creams take a long time to be effective. So, what kind of laser treatment do you recommend for a quick and safe result?

Dr. Kakkar

Dermatology HIV/AIDS Specialist Venereology
#

Hello,

Welcome back to icliniq.com.

  • My first choice would be the creams which I suggested. They would be safe to use. If they seem to be failing or show an incomplete response after two to three months, I would consider sessions of Q switched Nd: Yag laser (the laser used for pigmented skin lesions as well as tattoos).
  • Creams can be used along with the laser for additive and faster results.

Regards.

For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist

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