Penile vascular macules: an under-recognised condition responding to pulsed dye laser

Area of Science:

• Dermatology
• Urology
• Vascular Lesions

Background:

• Penile vascular macules are an under-recognized clinical finding.
• These benign lesions can cause significant psychological distress.
• They may present idiopathically or secondary to trauma.

Purpose of the Study:

• To present three cases of penile vascular macules with different causes.
• To discuss the clinical presentation and management of these lesions.
• To emphasize the importance of recognizing penile vascular macules for patient care.

Main Methods:

• Case report of three patients with penile vascular macules.
• Idiopathic cases treated with pulsed dye laser.
• Assessment of treatment outcomes at 12-month follow-up.

Main Results:

• Two adolescent idiopathic cases resolved completely with pulsed dye laser.
• Sustained results observed at 12-month follow-up for treated cases.
• One acquired case secondary to penis ring use declined treatment.

Conclusions:

• Penile vascular macules require recognition as a distinct clinical entity.
• Appropriate patient counseling and management are crucial.
• Treatment options like pulsed dye laser should be discussed for psychological relief.