Depigmentation of the Perineum-Scrotal Area

The persons having darker skin the scrotal and/or perineum region shows sometimes a pronounced unaesthetic pigmentation. Usually this tegument is covered by hair and its broadness is extremely inconvenient. This hyperpigmentation could have pathological implications - Acanthosis nigricans – which sometimes could accompany a serious disease, reason for which detailed investigations must be performed to identify and treat the cause.

However unaesthetic hyperpigmentation located in this region is often the tegument expression of obesity and is given by hyper keratosis (corny layer thickening, the most superficial skin layer). It also occurs with other metabolic disturbances and it is benign. In case of the persons prone to hyperpigmentation, the areas intensively aggressed through subsequent waxing could get more “blacken”, and this is way it is important to find for these areas a less aggressive depilation practice or to follow a treatment of permanent depilation.

In case of constitutional hyperpigmentation the solution is to give local depigmentation treatment which consists of applying depigmentation creams containing hidroquinona, for not less than 6 months. A faster option is the chemical peeling. Other treatment options are those using laser therapy or IPL therapy.

Frequently asked questions

How long does the heal take?

Where the treatment instructions are to use depigmentation (bleaching) creams then the results will become visible after being used for long periods of time. Your doctor can prescribe you a magistral formula prepared in the drug stores, the use of which must be suspended regularly, according to doctor's advice.

These prepared products are very strong and might cause local irritations, and hence, their application is performed with breaks. It is important that throughout the treatment you avoid exposing the areas to sun. In case of chemical peeling the treated areas are covered by crusts which exfoliate step by step, within 10 days. In this period these areas require a very careful care to prevent infections.

Then the tegument will get a red color for few days and will be very sensitive. Sun exposure after peeling is completely forbidden.

In case of laser therapy the results become visible within three weeks and could be applied in any area of the body affected by hyperpigmentation.

After how much time since the surgery I can resume sexual life?

In case of cream applications there is no contraindication whatsoever except for sun exposure. In case of peeling a sexual break of at list 10 days is needed until full crust exfoliation. In case of laser therapy sexual life could run normally.

Is this a painful procedure?

In case of depigmentation cream applications it might be possible that you feel following more than one day of application and, in particular, in case of concentrated products, the sensation of blistering and local burn. This is the reason for which their application is performed in a discontinuous manner, for 10 days and then with a break of other 10 days. In case of peeling the burn sensation appears during the treatment session and lasts for just few minutes, afterwards the symptoms disappears completely. Sometimes local anesthetics are needed. In case of laser therapy sting-scalding sensation could be perceived at the time of discharging the light pulse. The therapy could be accompanied by local cold applications to increase the comfort during the treatment sessions.