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Ann asked...

Fordyce spots on penis

My 14 year old son has Fordyce spots on his penis. He has been told by a GP that they are harmless, but that they won't go away and are untreatable. However, he has been researching treatments on the internet: laser treatment, some kind of needle treatment, and creams. Are the treatments safe, and do any of them work?

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The answer

Fordyce spots are small white, red or yellowish spots which are caused by sebaceous gland enlargement and are usually harmless and do not require treatment. Some can become large, and will need to be assessed by dermatology but this is unusual.

There are several treatment options from topical creams and combinations of topical creams to laser treatments. Effectiveness is very variable. Electro desiccation or CO2 laser has had some success if the concern is cosmetic, but can be expensive. Pulsed dye lasers have been reported to be effective and noted to leave fewer scars than other methods but results vary and again can be expensive. Micro punch technique has provided some effective results, but again results vary.

I would suggest talking to a dermatologist and having your son assessed, but they may still recommend no treatment. Hopefully this will help you,

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