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Syphilis on the penis


Syphilis On The Penis

Sometimes, primary syphilis on the penis can go unnoticed by a man - this is due to the fact that the representatives of the stronger sex rarely pay attention to a rash that does not cause concern.


This is the main insidiousness of the disease: syphilitic manifestations almost do not bother the patient and spontaneously disappear after a certain period of time. In order to timely identify the disease, you need to consider: how the infection occurs and what symptoms may occur.



Primary signs of infection


Infection with syphilis occurs through contact with a sick person or through the use of hygiene items. In this case, the causative agent of the disease, pale treponema, enters the body through cracks in the skin or mucous membrane. The localization of the first manifestation of infection depends on the place of entry of the virus.


Primary signs of syphilis in the penis usually appear if the infection occurred sexually, less often after using other people's intimate hygiene items.


Outwardly, syphilis on the penis looks like a small sore. This primary sign of the disease is called a chancre and it forms 3-4 weeks after infection. The incubation period for illness can be shorter in immunocompromised people, or significantly longer if the sick person is taking antibiotics.


A syphilitic sore differs from other skin rashes in a number of ways:



  • Has sloping edges and a smooth bottom;
  • Slightly rises above the surface of the skin;
  • At the site of the tissue lesion, bright red;
  • On there is a solid infiltrate at the bottom.

Syphilitic erosion on the skin of the penis is painless and does not cause concern to the man. The chancre can be located:



  • On the head of the penis;
  • On the frenulum;
  • At the root of the penis.

The first signs of syphilis are detected in the head of the penis, less often on other parts. At this stage of the disease, there is a slight increase in the inguinal lymph nodes. For some, when a chancre appears, the temperature rises or pain in the joints and muscles appears.


The disappearance of the hard chancre occurs even if the treatment of syphilis on the penis was not carried out.



Atypical manifestations of the disease


The first symptoms of syphilis on the penis may look like:



  • Herpetic eruptions;
  • Large non-ulcerative chancres;
  • Pus-filled papules.

In some patients, signs of syphilis are noted not only in the penis, but also on the pubis, scrotum or near the anus.


An atypical course of the disease is noted in the following cases:



  • Decreased immunity;
  • Long-term use of hormonal drugs;
  • The presence of diseases that violate the hormonal background (diabetes mellitus, thyroid pathology, etc.);
  • Antibiotic treatment.

Uncharacteristic signs of syphilis are the main reason for late seeking medical help.



Possible complications of chancre


The resulting syphiloma can become infected with secondary microflora and then the clinical picture: what syphilis looks like on the penis will not have characteristic signs.


Depending on the type of infection that has joined, a man may have:



  • Acute inflammation in the area of erosion and swelling of tissues. Syphilis causes a narrowing of the foreskin, in which it is impossible to completely expose the head of the penis. Without treatment, the pathology ends with the necrosis of the head and foreskin;
  • The development of the gangrenous process. Fusiformis infection results in a black scab at the bottom of the erosion. After rejection of the formed scab, the ulcer deepens, but healing does not occur. The gangrenous process is accompanied by pain, swelling, fever and a general deterioration in the patient's well-being;
  • Perforation of the penis
  • Occurrence of bleeding. Prolonged ulceration of the ulcer leads to damage to small capillaries and bleeding.

All secondary infections are accompanied by pain and erectile dysfunction and severe lymphadenitis.


Despite the fact that a man is not worried about syphilis on the penis, but pain and male failure, the diagnosis of the disease is not difficult. For any rashes in the genital area, urologists and venereologists prescribe a serological blood test to patients, which becomes positive a month after infection with pale treponema.


A positive reaction persists not only during the entire period of treatment, but also for several months after the onset of clinical recovery.


The onset of the disease, when syphilis appears on the penis in the form of a chancre, is considered the most favorable for therapy.



Danger of disease


If you ignore the first signs of syphilis, then the disease begins to progress further and the second stage sets in.


The secondary form is characterized by:



  • Healing of the chancre and the appearance of irregularly shaped pinkish-scarlet rashes on the penis;
  • Enlargement of the lymph nodes (the inguinal lymph nodes are greatly enlarged, and when walking the person feels severe discomfort);
  • The appearance of cyanosis on the penis and scrotum;
  • Sexual dysfunction;
  • The occurrence of headaches and dizziness;
  • Gradual deterioration of hearing and vision.

In the secondary phase of the disease, pale treponema has a devastating effect not only on the genital area. She is amazing:



  • Nervous system;
  • Vessels;
  • Internal organs;
  • Musculoskeletal system.

Secondary syphilis on the penis often causes strokes and heart attacks.


Rarely, the secondary stage of the infection is asymptomatic and is detected incidentally during the examination. For the second stage of the syphilitic process, the prognosis is not always favorable - the defeat of pale treponema of systems and organs often leads to disability of the patient.


If the treatment of the secondary form was not carried out, then the man's condition gradually worsens and neurosyphilis develops (the tertiary stage of the syphilitic process). With it, the destruction of internal organs and the nervous system occurs. The sick person has:



  • Digestive disorders;
  • Urinary disorders;
  • Erectile dysfunction;
  • Cardiovascular disorders;
  • Paralysis and paresis;
  • Epiattacks;
  • Destruction of bones and joints;
  • Disorders of the vestibular function (the patient loses the ability to move independently and has difficulty orienting in space);
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  • Skin necrotic painless ulcers.

Tertiary syphilis is rare and dangerous because it cannot be treated. In the third form of the disease, only symptomatic therapy is carried out to eliminate the disorders that have arisen.


Despite the fact that the initial signs of syphilis on the male penis are not always pronounced, during a medical examination, the diagnosis of the disease does not cause difficulties (a serological blood test is performed). Representatives of the stronger sex only need to be attentive to their health and, if rashes appear on the penis, be examined by a doctor.