Understanding penis lesions
Penis lesions are unusual bumps, lumps, or spots that appear on the skin of the penis. They can look different depending on their cause, and many are harmless. For example, small growths such as cysts, angiokeratomas, syringomas, or pearly penile papules are common and typically don’t require treatment.
Sometimes, penis lesions can be caused by skin conditions like lichen sclerosus, lichen planus, or psoriasis, which may cause itching, pain, or scarring. In some cases, these conditions can lead to problems like a tight foreskin (phimosis) or difficulty urinating.
Other lesions may be caused by infections, such as genital herpes, which often appears as painful blisters. Whether a lesion requires treatment depends on its appearance, size, and whether it causes symptoms. Recognising and understanding the type of lesion is the first step to finding the proper treatment and protecting your health.
Treatment options for penis lesions
Treatment depends on the type, size, and cause of the lesion. Common treatments include:
Topical medications
For lesions caused by viruses like HPV (genital warts), medicated creams may be prescribed. These medications are applied directly to the lesion and are often effective within a few weeks. They are a non-invasive treatment option and are usually well tolerated.
Excisional biopsy
This involves removing the entire lesion along with a small area of surrounding skin. It’s often done when the doctor needs to examine the lesion under a microscope, especially if there’s a chance it might be cancerous. A local anaesthetic is used to keep the procedure painless, and the tissue is sent to a lab for analysis.
Surgical excision
For larger or more complex lesions, or those that don’t respond to other treatments, surgical removal may be necessary. This procedure is performed under anaesthesia, and the lesion is carefully removed to minimise the risk of recurrence. The tissue is then tested to check for any signs of cancer or infection.
Please call to enquire about the price
Ways to payBefore the procedure
Initial consultation
During your first visit, a urologist will take the time to understand your symptoms and overall health history. This includes asking detailed questions about when the lesion first appeared, any changes in size or appearance, whether it’s causing pain, discomfort, or discharge, and any associated symptoms, such as itching or irritation. They will also discuss your sexual history, including recent partners and any history of sexually transmitted infections (STIs), which can sometimes be related to penile lesions.
A physical examination will then be performed to closely inspect the penis, scrotum, and surrounding genital area. The urologist will also check for any swollen lymph nodes in the groin, which can be a sign of infection or other conditions. If the lesion looks suspicious or the diagnosis isn’t precise, your doctor may recommend a biopsy, which involves taking a small tissue sample for lab testing. This helps determine whether the lesion is benign, infectious, or possibly cancerous, and guides the next steps in treatment.
Preparing for surgery
If your doctor recommends surgery to remove the lesion, you’ll receive specific instructions to help you prepare. In most cases, you’ll be advised not to eat or drink anything for a particular period before the procedure, especially if general anaesthesia or sedation will be used. This helps reduce the risk of complications during surgery.
It’s essential to provide your healthcare team with a comprehensive list of all medications you’re taking, including over-the-counter drugs, supplements, and herbal remedies. Some medications, such as blood thinners, may need to be paused or adjusted before the procedure to minimise bleeding risks.
You’ll also have the opportunity to ask questions about the surgery itself, including how long it’ll take, what the recovery process will involve, and what outcomes to expect. Your surgeon will explain the plan in detail, including how the lesion will be removed and the type of anaesthesia that will be used. Being informed and well-prepared can help reduce anxiety and make the surgical experience smoother and safer.
During the procedure
On the day of your procedure, you’ll be taken to a treatment area where the medical team will review your information and explain the steps ahead. Most penis lesion removals are done on an outpatient basis so that you can go home the same day.
To keep you comfortable, local anaesthesia is usually used to numb the area. In some cases, especially for larger or more sensitive lesions, sedation or general anaesthesia may be recommended. If sedation is used, you’ll need someone to drive you home afterwards.
The surgeon will carefully remove the lesion using either a scalpel or a CO₂ laser, depending on the size and location. Some surrounding healthy tissue may also be removed to help ensure the lesion doesn’t return and to facilitate accurate laboratory testing. The procedure usually takes 10 to 30 minutes.
After the lesion is removed, the area will be cleaned and may be stitched closed or left to heal naturally. You may be asked to wear a jock strap or support garment afterward to help reduce swelling and protect the area.
The tissue is sent to a pathology lab to determine the exact nature of the lesion. This helps your doctor decide if any further treatment is needed. You’ll also receive clear aftercare instructions to manage healing and reduce the risk of complications.
Overall, the procedure is safe and straightforward, with a focus on both effective treatment and maintaining the normal function and appearance of the area.
After the procedure
Immediate care
After the procedure, it’s normal to experience some swelling, mild discomfort, or bruising around the surgical site. Your doctor may prescribe an antibiotic or antifungal ointment to prevent infection and promote healing. You’ll also receive instructions on how to keep the area clean and when to change any dressings. Because dressings don’t always adhere well to the scrotum or groin, supportive underwear, such as a jockstrap, can help keep things in place and reduce swelling.
Applying ice for short periods during the first couple of days can help relieve discomfort. It’s essential to avoid heavy lifting, vigorous exercise, and sexual activity for a period recommended by your doctor, typically 1-2 weeks, to allow for proper healing.
Long-term recovery
In the weeks following surgery, most patients heal without any problems. Attending your follow-up appointments is key to monitoring the site’s healing progress and reviewing any pathology results. Your doctor will let you know when it’s safe to return to normal activities.
Potential complications and risks
While the procedure is generally safe, complications can occasionally occur. These may include infection, bleeding, noticeable scarring, or changes in skin appearance. If you experience severe pain, fever, persistent swelling, or unusual discharge from the area, contact your healthcare provider immediately. Prompt attention helps ensure any issues are treated quickly and effectively.
Appointment and Treatment Plan
Initial Consultation
You’ll meet with a urologist to discuss symptoms like discomfort, changes in the skin, or visible lesions. A physical exam will be done to check the penis and surrounding area. If necessary, a biopsy or laboratory test may be recommended to determine the type of lesion. Your doctor will explain whether removal is needed and discuss treatment options.
Pre-Surgery Preparation
Before surgery, you may need to fast for a specific period, especially if anaesthesia is being used. Be sure to inform your doctor about all medications and supplements you are taking. A quick health check will confirm you’re ready for the procedure. You’ll also need to arrange for someone to drive you home afterwards.
Day of Surgery
The procedure usually takes 10 to 30 minutes. It’s typically done under local anaesthesia, though sedation or general anaesthesia may be used for larger lesions. The surgeon will carefully remove the lesion and may take a small margin of tissue for lab testing. Most patients go home the same day.
Immediately after surgery
Mild swelling, bruising, or soreness is normal. You’ll get instructions on how to care for the area, apply ointments, and manage pain. Wearing supportive underwear, such as a jock strap, can help reduce discomfort and protect the site during healing.
Recovery at Home
Rest for a few days and avoid strenuous activity, heavy lifting, and sexual activity. Most people can return to regular routines within 1 to 2 weeks. Following your aftercare instructions closely helps prevent infection and supports healing.
Follow-Up Appointment
You’ll likely have a follow-up visit within 1 to 2 weeks. The doctor will assess your healing, review the pathology results, and address any questions you may have. They’ll also advise when it’s safe to resume full activity.
Long-Term Outlook
Most patients recover fully with minimal scarring. If the lesion is benign, no further treatment is needed. If something more serious is found, your doctor will discuss the next steps with you.
Experts
We are proud to provide patients with access to a wide range of clinicians, chosen specifically for their knowledge and reputation in their area of expertise. Our experts align with our values: putting you at the centre of your care and educating you on your options at each step of the journey. We encourage you to learn more about our clinicians and how they can help you below. As always, please contact our patient services team if you require any additional information.
We offer 3 ways to pay for your treatment
We exist to take the stress out of private healthcare.
Our payment options are designed to offer you easy access to our treatments and services. You can choose to pay on the day, spread the cost, or use your private medical insurance.
Our patient services team will guide you through the process, providing clear costs and support throughout your course of treatment so you can focus on the thing that matters most – your health.
Whether you pay in advance, spread the cost, or use your private medical insurance, rest assured you will be receiving exceptional care 365 days a year.
Pay in Advance
Even if you do not have medical insurance, you can still get quick and comprehensive access to private medical care.
We provide transparent pricing from your initial consultation to the completion of your treatment so you know where your stand, every step of the way.
We accept all major debit and credit cards, as well as Apple Pay for UK residents. Please note that we do not accept cash or cheques.
Pay monthly
Paying for your treatment at OSD Healthcare doesn’t need to mean settling the full cost in one go.
Many of our treatments have a pay monthly option that allows you to spread the cost of your treatment over 12 months with no credit checks required.
A minimum spend of £300 does apply. We’ll take your first payment upfront and then arrange a direct debit for your monthly payments thereafter. It’s that simple.
Pay using PMI
We are recognised by all major health insurance companies and with our extensive range of services, there are lots of benefits to using your insurance with us. Our patient services team is here to answer any questions you may have about using your private health insurance with us.
Please bring along your policy details including your scheme details, membership or policy number, expiry date and confirmation of eligibility to claim (i.e. your authorisation number). If you do not have these details with you, we will require payment from you on the day. Patients are liable for any amounts not settled by their insurer.
FAQs
Indeed, penile lesions can recur, particularly if they are associated with certain infections or underlying skin conditions. It is essential to monitor and follow up with a healthcare provider if lesions reappear.
Practising safe sex, maintaining proper hygiene, and promptly addressing any changes or concerns regarding penile health are essential preventive measures for penile lesions. Taking these steps can significantly reduce the risk of developing such conditions.
Cysts on the penis typically do not require medical intervention and often resolve on their own. However, it is advisable to consult a healthcare professional if you have any concerns or if the cysts change in appearance.
If a cyst becomes painful or shows signs of infection, it is essential to seek medical attention for possible removal and treatment. Prompt action can prevent complications and promote healing.
If an abnormality persists for longer than four weeks, it is prudent to consult a healthcare provider for further evaluation. Timely medical advice can help address potential concerns effectively.