[Question #7459] Bowenoid papulosis from HPV or harmless moles

2 months ago
Been awhile since I’ve approached you guys.  I had a question I never used so here goes.  I had eliminated all anxiety from my possible exposure 18 months ago, but something else now has me back.   I’d say a good 3-4 years ago, I noticed what appeared to be a new mole show up on the shaft of my penis.  I never thought anything of it.  I have moles in another places, and it’s never itched, appear to be inflamed, etc.   over time, two more have appeared and basically follow a straight line formation.  None are bigger than probably 4mm with the smallest probably being 1mm.  They’re a brownish color and the biggest one is soft like a mole.  None have ever itched or changed appearance or given me any indication of a problem.  But curiosity got the best of me again and I stumbled across Bowenoid Papulosis.   One image kind of resembled it, but most did not.  Prior to my experience in June of last year, all my previous sexual encounters were protected, one time experiences with older married women.  

I am an obese guy.   When not erect, It doesn’t show much and recessed into the body.   I’ve read where obese individuals can get skin tags, moles, etc in that region.  

Is it more likely that these are just harmless, other forms of dermatological growths or could it really be BP?
Edward W. Hook M.D.
Edward W. Hook M.D.
2 months ago
Welcome to our Forum.  Thanks for your new question.  I appreciate your concerns.  The likelihood that the lesions you describe are Bowenoid papulosis is very low however for accurate diagnosis yo-yo should seek evaluation by an dermatologist with experience in genital dermatology..  my guess is that the lesions you have noted are some other, non-STI process.  Your sexual history, if anything further reduces the likelihood that these lesions reflect a sexually acquired process.  EWH ---
2 months ago
Thanks for you response,  Dr. Hook.  One follow up question and I’ll be out of your way.  If it was indeed BP, I understand it’s very contagious and my wife would probably have acquired it with her being my only unprotected partner.   I read in women(VIN), it’s a very itchy condition.  And she’s had no problems.
Edward W. Hook M.D.
Edward W. Hook M.D.
2 months ago
You are correct that Bowenoid papulosis is sexually transmitted.  

Rather than getting into indirect reasoning, my advice remains to seek evaluation. EWH 
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