5 weeks ago I discovered a single 1" x 0.5" wart on the superior base of my penis shaft about 1" away from the pubic region. Very shocking since I have been married and monogamous for 10 years (and we haven't even had sex in 2 years...). One GP insisted that "it doesn't present as a wart", however another dermatologist said it "definitely is a wart", however, "it may not be sexually transmitted" (which is even more gross when I think about it!).
I have had a few cryotherapy treatments and the wart seems to be resolving nicely. I had my last freezing 3 days ago and so it is still healing. I also had the Gardasil 9 vaccine as a precaution.
My issue is that it has left me with significant hypopogmentation over the treated area. I am Caucasian with fair-to-olive skin and I tan very easily, but my penile skin is quite a bit darker than the rest of my body. I am wondering if there is a way to reverse this hypopigmentation to any degree.
I know that there is a difference between temporary post-inflammatory hypopigmentation (which tends to resolve over time), and permanent hypopigmentation (which occurs due the destruction of the melanocytes), so I need to wait until the wound has completely healed before making any final judgements.
I have read that topical hydrocortisone is often used to treat hyopigmentation in vitiligo patients, but if used improperly can lead to more serious side effects such as atrophy-- especially in a thin-skinned area such as the penis shaft. Thankfully, the affected area is far away from any "pleasure zones".
I have an appointment with a dermatologist in 2 weeks but I would like to go in armed with some more knowledge. The original dermatologist who recommended cryotherapy didn't even bother to tell me hypopigmentation would be a side effect.
Any advice would be appreciated.
Thanks in advance.