Black dots on my penis

[Samshk]

I am from Germany, recently I noticed two black dots on my penis and the skin was swollen as if a parasite was sitting inside. I went to the doctor, and he confirmed that there was indeed one. He had never seen something like this in his 8 year career. He somehow managed to remove the parasite by pressing my penis but I want to be sure that this does not happen again to me. Does anyone has any past experiences or is there anything I can do next ?

[Samshk]

They have put it in a tube but without the preservative and I have made an appointment with my house doctor on Friday and I will rely on him to guide me through the process and where should I go next.

[mkh9]

Okay, let me know what they find. I hope they can identify it.
mkh9

[Samshk]

No, the doctors had no clue as to what parasite that was. They have handed over the parasite to me for further investigation.I used to swim in the public swimming pools in the last few weeks and that was my only contact to fresh water area. I have not travelled anywhere for more than a year.

[mkh9]

I never heard of a doctor giving a patient the worm. Did he give you medicine for it as well? I would see another doctor. Call an infectious disease doctor to see if they will handle this or see another doctor that will send the worm to the laboratory for identification. Did he put it in preservative? The lab needs to identify it. I'm not sure what it is. I wouldn't try to identify it by looking at it here. It will be hard to figure out. They may have to dissect it. As for swimming in public pools they should be safe because of the chlorine. You may have gotten if from a mosquito bite or from some other source.
mkh9

[mkh9]

Hi and sorry you went through this. I am wondering if you traveled outside Germany before this happened? Did the doctor say what kind of worm it was? If you went to Asia, Africa, the Carribean or South America you could have been exposed to a parasite called Wuchereria or Brugia that can cause "elephantiasis." This usually gets in the lymph system and early on can get into the lymph nodes especially the groin area, testes, blood vessels of the epididymis and causes swelling and pain in those areas. At first you have little or no symptoms. It is transmitted by mosquitos. So wearing a mosquito repellent when in those areas would help.

Did the doctor do a blood smear on you to see if you have any parasites in the blood? They can also do serology to look for elevated levels of antifilarial IgG4 in the blood.  My worry is that pulling out one worm may not be the cure of this. There may be other worms in the lymph system or blood. It depends on what parasite it really is. I suggest you see an infectious disease specialist for more testing. Or a doctor that is good with parasitology.   Another thought is did you swim in any fresh water area (non ocean or non salt water)? There may be other things you can get in an area like that especially if you travelled.

mkh9