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Urology/Foreskin of penis - second question, request

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Good day,
I have same question as below but this time with pictures plus some add information.

My foreskin of the penis is with several "white veins" looks like thick needle. They intersect other normal veins which are with blood. They are palpable and visible during erection or without. Other veins are like slightly thickened and redder. Do not hurt does not itch. Please make suggestions and help me because it make me nervous." I as dermatologist ,urologist, surgeon and looks like they have no idea.

Add information: All this happened arr 3 weeks after hernia surgery. In the beginning I was taking Xalerto ( 40 days)and as per advice of one urologist I stopped take it. My result was INR=1.2 , protrombin time=13sek and most of ""white veins" disappeared. But later on after 10 days they come back in bigger number back. I was also using heparin ointment.But it made it sensitive.
Then I started to take Xakerto again and after 2 weeks there is no positive result.
Please be so kind and help me.
Best regards Stanley

Answer
Stanislaw

We are not allowed to make individual diagnoses or give specific treatment advice on this site; just answer general questions. Skin lesions on the genitalsame are particularly hard to reliably diagnose from just pictures or descriptions.

You should follow your local physicians advice.

However, a few thoughts. The lesions seem to be related to your medication and are possibly vascular in nature. Laser treatment might be another option, but check with your locsl urologist.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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