Angiokeratomas of Fordyce treatment

Angiokeratomas of Fordyce Treatment At A Glance

  • Best Results1-3 sessions
  • Treatment Recovery2-4 days
  • Procedure Time15 minutes
  • Skin SpecialistDr Sarath Bodapati
  • Duration of ResultsLong Term
  • AnaestheticCooling spray/gel
  • Back to WorkImmediately
  • Cost$$

Angiokeratomas of Fordyce Treatments

Angiokeratomas are common lesions found on the scrotum; the full name is scrotal angiokeratomas of Fordyce. These are a proliferation of blood vessels that results in multiple blue to purple lesions measuring 2 to 7 mm on the scrotal skin. They accumulate with age & can be unsightly. Bleeding & itching can occur. Lasers can markedly reduce the size & number of angiokeratomas. 

FactsFacts On Scrotal Angiokeratomas

  • Angiokeratomas of Fordyce occur on the scrotum & less commonly on the penis
  • Though they may resemble genital warts, they are harmless & not transmissible 
  • These lesions will increase in size & number with age
  • With increasing lesions, itch & bleeding are common symptoms
  • Long pulse Nd Yag laser is the best way to remove angiokeratomas 
  • 2-3 sessions will comfortable clear lesions with minimal discomfort 
  • My colleague Dr Sarath Bodapati specializes in this treatment 

What are scrotal angiokeratomas of Fordyce?

These are common ‘blood blisters’ that are red, blue & purple on the scrotum (& less commonly on the penis or vulva). They consist of blood vessels that aggregate to form lumps & bumps, & increase in number with age. Though unsightly,  they are totally harmless. 

How do dermatologists diagnose angiokeratoma of Fordyce?

Dr Sarath Bodapati is a consultant dermatologist specializing in disorders of male genitalia. A clinical examination can make the diagnosis in 99% of cases, without the need for invasive biopsies. 

*For out of state or international patients, you can arrange a Skype or Zoom consultation for diagnosis. Contact to arrange an appointment with Dr Bodapati.

What is the best treatment for scrotal Fordyce angiokeratomas & who treats them?

Vascular lasers provide the best outcomes with maximal clearance, minimal pain & side effects. Dr Bodapati employs two types of lasers, both with cryogen cooling- the VBeam pulsed dye laser & the long pulse NdYag. 

1064 NdYag has a slight advantage over the 595 PDL as the longer wavelength goes deeper into the skin. This results in better clearance. 

Disclaimer: I do not treat genital conditions such as angiokeratomas of Fordyce, pearly penile papules or warts. My colleague, Dr Sarath Bodapati at Cutis Dermatology manages male dermatological conditions.

What is involved in the laser procedure?

Laser light feels like a short snap.  In some cases we double pulse, meaning 2 short snaps delivered over 1-2 seconds. 

For isolated lesions, no numbing is required as the laser has a pre-cooling with gas spray. For more than 30 angiokeratomas, Dr Bodapati may elect to use numbing gel prior to laser. All procedures are done in our accredited laser suites in Brisbane. We use superfast lasers, meaning treatments are over within 5 to 10 minutes.

How successful is the treatment & how many sessions will I need?

To date, lasers provide the highest clearance rate; ranging from 20 to 60% per session. Most patients require 2-3 sessions spaced 4 to 8 weeks apart. 

Will angiokeratomas of Fordyce come back after laser treatment?

Treated angiokeratomas are unlikely to reappear. However, new skin lesions can develop over time. As a guide, laser treatment typically clears lesions for 2 to 8 years. 

Davin’s viewpoint on treating scrotal angiokeratomas of Fordyce

Angiokeratomas are more common than you think. Scrotal angiokeratomas of Fordyce can be seen in over 15% of males over the age of 40. Most are asymptomatic, however they can itch & bleed with trauma. They are also embarrassing for some men. Though rare, angiokeratomas may also form on the vulval areas in women. Treatment is along the same lines as males. 

Lasers provide the most reliable method of treating vascular lesions, including angiokeratomas of the scrotum. Treatments are quick, comfortable & outcomes are predictable. Expect clearance within 3 laser sessions. More sessions are required if-

  • Lesions are larger (greater than 3.5 mm in diameter)
  • Close together
  • Occur in ethnic skin (darker skin require more treatments)

For those who would like to attempt creams prior to treatment, you can ask your GP to write the following recipe-

Rapamycin 0.25% compounded in anhydrous base X 20 grams. 2 Repeats. Apply to lesions up to twice a day for 3 months. Reduce application if any stinging, redness, itchy or irritation. 

Call up a compounding pharmacy near you to see if they have the resources to make this formulation.

Disclaimer: I do not treat genital conditions such as angiokeratomas of Fordyce, pearly penile papules or warts. My colleague, Dr Sarath Bodapati at Cutis Dermatology manages male dermatological conditions.

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