Hello doctor, I would like to get a second opinion and ask a few more questions regarding the condition that I have on my foreskin. I am 43 years old and I have two brown spots on my foreskin. They are there for about one to two years, possibly longer. They do not itch, or bleed, or change in size. Only the one is closer to the glans is possibly getting a bit lighter. Can you please have a look at the photos and opinion of a dermatologist. They suggest that it could be condyloma, bowenoid papulosis, or seborrheic keratosis. As I mentioned, when I was younger I went to visit a urologist and they told me that I have a mild case of phimosis. I do not have any issues in maintaining hygiene, or having sex, except sometimes if my foreskin stretches and it is dry, I feel a bit of pain and discomfort. What I would like to add is that I am straight and married for the past eight years and in those eight years I only had sex with my wife, not sure how long is the maximum incubation of condyloma, or papulosis and does it exclude it. Also, it mentions that condyloma is cauliflower shape, which I am not sure about these spots, one closer to glans is totally flat and the other one that has a shape of a mole is slightly above the skin, but I cannot say it is cauliflower shaped. Could you please let me know do you agree with your colleagues opinion? I am very cancerophobic (if that is even a word for a person who is generally scared of cancers, so my main concern is to rule out that option). I am currently away from home and cannot go visit urologist in person for at least two months.
Hello. I have gone through your queries and attachment. (attachment removed to protect patient identity).  You are having viral warts on your preputial skin. You need to contact your local dermatologist. There are several methods of managing viral warts. That may be electrocautery or simple local application of antiviral or keratolytic ointments. That will be decided by your dermatologist. If you are having phimosis, then contact your local urologist as you may need circumcision. If you undergo circumcision, the skin with these lesions will automatically be excised out and biopsy report will tell the final story.