How does a doctor diagnose whether a white patch on my penis is due to lichen sclerosus?

Doctor's Answers 1

Lichen sclerosus is a rare skin condition that usually shows up on your genital or anal areas. But it can also affect other parts of the body.

The condition mostly affects women after menopause. But men can get it, too.

The diagnosis can usually be made by doctor on visual inspection of the patch from the typical appearance of the condition. If there is any doubt, a skin biopsy can be done. This involves taking a small skin sample for examination under a microscope to confirm the diagnosis.

The significance of lichen sclerosus is that it can cause thickening and tightening of the foreskin. This can lead to difficulty passing urine and sometimes can affect erections. More importantly, this condition is associated with an increased risk of skin cancer, which can be reduced by active treatment.

Another condition that presents as a white patch on the penis is leukoplakia. This condition is painless, but can progress to cancer, and needs to be treated.

As both these diagnoses can lead to skin cancer, I would recommend that you have a urologist or dermatologist look at this patch soon.

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What are some possible treatments for a curved penis?

It depends on the cause of the curved penis. If it has been present since young, it could likely be due to frenulum brevie or a short frenulum, which is the point where the foreskin is attached to the penis. The other possibility would be congenital penile curvature. These two conditions would require surgical correction. Curvatures that develop overtime would be due to Peyronie’s disease. This is commonly associated with a palpable lump on the penis, painful erections, and in some patients, penile shortening.

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