Abstract:

The genital region is the crossroad of the skin, reproductive and urinary system. In patients with genital skin lesions, the collaboration of urologists and dermatologists is frequent and this alleviates distress, anxiety and even hidden fears of patients, especially in genital pigmented lesions. differential diagnosis of genital pigmented lesions has a wide range spectrum like melanosis, melanocytic nevi, seborrheic keratosis, basal cell carcinoma, other diseases such as post-inflammatory hyperpigmentation, lichen planus, Bowen’s disease, Bowenoid papulosis and most importantly melanoma. In approach to solitary or multiple pigmented lesions; dermoscopy is a non-invasive tool that captures clues which cannot be seen by naked-eye and provides guidance for unnecessary biopsies or surgery for dermatologists. This review intends to provide a dermatological approach and aspects for urologists in the differential diagnosis of pigmented lesions on the genital area in female and male patients.

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