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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does A Black Spot On The Testicle Indicate?

Hi Doctors, My dad noticed a black spot 3/8 large on his testicle last week. Doc said it wasn t cancer, just a scab and that the area was irritated. He prescribed Neosporin. My dad used it twice and now has noticed a series of very tiny black dots around that area (he described them as looking like mold spots on bread). Do you think this is result of Neosporin, or do you think we should get another opinion? Thank you.
Mon, 17 Apr 2017
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General & Family Physician 's  Response
Hello Dear. It may not be due to neosporin. I advice you to consult a dermatologist. I will tell you few causes of black spots over testes. Kindly discuss this with your dermatologist.

The presence of black spots on the scrotum, medically termed as angiokeratoma of Fordyce, is actually a benign condition. Yet, most men are afraid that this might be a sign of an STI. Know more about this condition, find out about its possible causes, and learn about its available treatment options.

Having black spots on the scrotum is a condition that is medically termed as angiokeratoma of Fordyce. Most men are usually alarmed at the appearance of these spots on their scrotum, thinking that it may be a sign of a sexually transmitted infection – which is not true. Knowing the possible causes of these black spots and its corresponding treatment is beneficial to allay one’s fears and misconceptions.

Angiokeratomas are characterized by dark red or purple benign, vascular spots or papules. These are comprised of damaged, dilated cutaneous capillaries and will easily bleed if scratched. These spots change into black or dark purple once blood clots have formed.

Angiokeratoma of the Fordyce type is the presence of 2 – 5 mm black spots on the scrotum, but these spots may also extend to the shaft and the glans penis. These spots are actually harmless and asymptomatic. In fact, it is of little or even no clinical significance.

The exact cause of these black spots on the scrotum (and all other angiokeratomas) is still unknown, but there are several factors which are thought to be probable causes. The following enumerates the factors, which could have contributed to the development of this scrotal condition:

1. Increased Blood Vessel Pressure
2. Enzyme Disorders
3. Fabry’s Disease

Treatment options:

Generally, black spots on the scrotum and all other angiokeratomas can be treated through laser, physical therapy and radiology aimed to manage the severity of the vascular lesions.

Laser treatments for angiokeratoma of Fordyce by using pulsed-dye lasers are proven to be effective and cause only minimal side effects. Other physicians, on the other hand, use cauterization to stop the bleeding in cases wherein the papules have erupted.

Dermatologists do not specifically recommend removing these black spots on the scrotum, as these papules are actually benign, asymptomatic and medically harmless. However, if a man feels that his self-confidence and physical appearance is negatively affected by this condition, then the dermatologist may initiate any of the aforementioned options depending on the case of the patient.

Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you.
All the best
With warm regards
Dr Sanjay Kini     
     
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What Does A Black Spot On The Testicle Indicate?

Hello Dear. It may not be due to neosporin. I advice you to consult a dermatologist. I will tell you few causes of black spots over testes. Kindly discuss this with your dermatologist. The presence of black spots on the scrotum, medically termed as angiokeratoma of Fordyce, is actually a benign condition. Yet, most men are afraid that this might be a sign of an STI. Know more about this condition, find out about its possible causes, and learn about its available treatment options. Having black spots on the scrotum is a condition that is medically termed as angiokeratoma of Fordyce. Most men are usually alarmed at the appearance of these spots on their scrotum, thinking that it may be a sign of a sexually transmitted infection – which is not true. Knowing the possible causes of these black spots and its corresponding treatment is beneficial to allay one’s fears and misconceptions. Angiokeratomas are characterized by dark red or purple benign, vascular spots or papules. These are comprised of damaged, dilated cutaneous capillaries and will easily bleed if scratched. These spots change into black or dark purple once blood clots have formed. Angiokeratoma of the Fordyce type is the presence of 2 – 5 mm black spots on the scrotum, but these spots may also extend to the shaft and the glans penis. These spots are actually harmless and asymptomatic. In fact, it is of little or even no clinical significance. The exact cause of these black spots on the scrotum (and all other angiokeratomas) is still unknown, but there are several factors which are thought to be probable causes. The following enumerates the factors, which could have contributed to the development of this scrotal condition: 1. Increased Blood Vessel Pressure 2. Enzyme Disorders 3. Fabry’s Disease Treatment options: Generally, black spots on the scrotum and all other angiokeratomas can be treated through laser, physical therapy and radiology aimed to manage the severity of the vascular lesions. Laser treatments for angiokeratoma of Fordyce by using pulsed-dye lasers are proven to be effective and cause only minimal side effects. Other physicians, on the other hand, use cauterization to stop the bleeding in cases wherein the papules have erupted. Dermatologists do not specifically recommend removing these black spots on the scrotum, as these papules are actually benign, asymptomatic and medically harmless. However, if a man feels that his self-confidence and physical appearance is negatively affected by this condition, then the dermatologist may initiate any of the aforementioned options depending on the case of the patient. Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you. All the best With warm regards Dr Sanjay Kini