Question Title: penis lesion

I am a 50 year old male. I exercise a lot, mostly on a motorized treadmill. Over the past year, I have noticed this “problem.” I sometimes observe what appear to be small blood vessel breaks inside the tip of my penis very close to the opening. They are usually less than 6 mm long and 2 mm wide. Usually they are shaped like an arc. They grow fainter and disappear within 10 days, but others can develop elsewhere. They are not painful. In only one instance, did actual bleeding occur. All the others stayed beneath the top layer of skin. This “problem” is unrelated to sex, but does seem more likely to occur after long periods of fast walking on the treadmill. Jogging does not seem to produce the condition. I have asked both my family physician and a urologist about this; neither thought it serious, but could not explain it. PSA, DRE, and urinalysis all were normal.

Dear JCG,
As you can imagine, it is very difficult to make a visual diagnosis when you don’t have a chance to evaluate the lesion. I don’t want to make any suggestions because I would be purely guessing. One thing I can tell you is that it doesn’t sound like penile cancer, which would be your major concern due to the location of the lesion. Other suggestions would be, Are you taking any medications because an allergic reaction to medicine can possible cause red areas in the skin? Have you tried to wear a more confining type of clothing (jock strap)to minimize possible trauma during exercise?
I would see your urologist if these lesions continue to bother you or more appear. Again, it is hard for me to comment considering I have not had a chance to examine you.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).

Sincerely,
HFHS M.D.-AK
*keyword:Penile lesion