Patient :In my mid twenties I had a few similar (to photos) bumps on my penile shaft that I was able to sort of "scrape" off. I have always had a ton of Fordyce spots on my scrotum and up a good portion of my shaft. About 8-10 years ago I started shaving my shaft (gets very hairy) right up to the tip and down into the scrotum. I shave both directions and have to go against the grain (from tip to base) to really get rid of all hair. Since I started shaving I started to notice a small smooth, slightly raised mark on the side of my shaft. It seemed to get a little bigger over time as I shaved and often some of the bumps (Fordyce) would bleed a bit. I just assumed these marks were from shaving for years as they never really went away. One near the base got a bit raised and rough after shaving so I panicked due to their appearance and tried to self freeze the raised one and the old ones on the side (over the counter dr. school's). Seems like all I accomplished was discoloration of my skin and the rough part did go away. I tried the white vinegar test a few times and none seem to turn white. I have been married for 15 years and have not been with anyone else but my wife for over 17 years. I have an appt. with my derm., but not until December. Again, I have some variation of these bumps for at least 10 years... may not have noticed them prior due to the large amount of hair on my scrotum and shaft... and also had a few in my mid-twenties (I am 45 now). Most (even larger smooth raised areas have/had hair coming out of them). Not sure if these bumps are related to repeatedly shaving over the Fordyce spots... maybe Molluscum Contagiosum or Sebaceous Hyperplasia related or genital warts from HPV. I have attached pictures (in picture with ring, not shiny rounder bump to right above flat bump). Another doctor stated that they may be HPV sores or Fordyce's and that I should get a swab test culture... I was under the impression that there is not actual swab test for men regarding HPV, just women? Thank you.
Thanks for your query and an elucidate history along with very clear pictures.
Read the history carefully and understood your concerns.
My thoughts and explanations are as follows.
The lesions as seen in the pictures you have provided look to be sebaceous hyperplasia with scarification:
Hair growing out of the most of the lesions.
Scarification is noticeable.
Does not look like classical HPV.
History of shaving, freezing,
Confirmation can be had only by an excision biopsy, hence request your Doctor/s to get one to get the confirmed diagnosis and proper management as per the report of histopathology.
Yes, there is no proved way to get the HPV tested on the male genitalia. Please feel free to ask for further relevant queries and give feedback too.
These Q&A’s are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.