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Also, had anyone tried those electric "mole remover pens" ? The have fine needle tips and appear to work more like the electro-surgical tools. Search for "UPGRADE Removal Pen Remover Tool Adjustable 9-Levels LED Spotlight USB Rechargeable Spot Eraser Pro Pen Home Use" on amazon to see what I mean.
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So I had a serious amount of Angiokeratoma on my scrotum and was able to get rid of all of them without them coming back. Once in awhile some new ones will show up but I just treat them again and they are gone. I wanted to share with you what I do to get rid of these with wonderful results with no scaring.

So I don't use the paper clip with the soldering iron method. I actually apply the soldering iron directly to the spot being treated. Be sure to clean the area being treated well and sterilize the soldering iron. What I find is that it is much hotter when directly applied with the soldering iron than a paper clip. The end of the soldering iron is also quite pointy so your able to be really accurate with where your wanting to apply the treatment. I only touch it quickly until I hear a pop or see that the spot has popped a bit which sometimes causes bleeding but not a big deal as it stops shortly after.

The trick to them healing well though is how I treat my scrotum afterwards. Be sure not to disinfect your scrotum with rubbing alcohol or you will severely dry your skin out and it will look terrible. I speak from experience with that one. What I do is apply Polysporin antibiotic ointment to the area for about 3 days to help with the healing process. I apply it at least 3 times a day as well since It rubs off during daily activity. After about three days I start applying Coconut Oil all over about 3 times a day as well. I continue this for about a week after applying the Polysporin cream. After a week the areas that I treated are no longer noticeable and have healed up very well with no scarring. I am amazed at how well this works for me. I now have absolutely no signs of Angiokeratoma on the scrotum which really helps with my self confidence and well being. It used to be so bad before and when I went to see the doctor he told me the only way to really get rid of them would be laser treatment. This was expensive and it had no guarantees. I am now able to deal with this on my own in the privacy of my own home with wonderful results. The only thing I wish I could do to ease the moment of pain when I apply the soldering iron is a local freezing. I am sure I could do that but it does not hurt that much so I do it quickly and before you know it it's all over.

I hope this info will help someone who is dealing with the same issues as I was. The key though is applying the creams regularly after you cauterize the Angiokeratoma spots. It should all be healed up within 5 days as well. This really works very well so if your serious and want to get rid of these little critters then give it a try. I guarantee you wont be disappointed. I hope I covered all the steps well for you to understand but if you have any questions about how to do this correctly please let me know. I would be happy to answer any questions or concerns you might have.

Thanks, and Good Luck!
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Replying to my previous post, I wanted to give an update. In my first attempts several months ago to rid myself of my Angiokeratoma, I tried the 4% lidocaine, followed by the soldering iron. (Pre-cleaning and post-wound care was vital to success and avoiding infections). I believe the treatment does work but only on the smallest and closest-to-the-surface nodules. The deeper nodules and larger ones simply "came back" after a few weeks.

So on the heels of my self-care attempt, I made an appointment with an actual dermatologist. Since my insurance doesn't cover this type of work, I had to work with his office on pricing for my 100+ (yes, that many) angiokeratoma. He was very very accommodating, and we set up a payment plan and visit plan for three visits. (Just to give you an idea, it was approximately $450 total for all three procedures. It could have been more, his pricing was about $150 for up to 10 skin lesions, but due to the work on the angiokeratoma, he charged me that price for each visit. Very accommodating.)

The first visit was a trial visit to see if the skin could take the electo-cautery procedure. He explained that there were several risks - severe bleeding, nerve damage, and total testicular swelling which may never subside. (Obviously I was very nervous about all three, but those are the smallest percentage risks.) So the first session was about 5-7 lesions. I used at home the lidocaine (4% spray) prior to coming. And am I glad i did! He had a "Novocaine" type of injection for the procedure, and he used it. Thank goodness - the cautery machine gets well below the surface and hits nerves that the lidocaine won't touch. The lidocaine preps for the Novocaine! Whew.

Healing was about one week, maybe 10 days. I used my own procedure (described in the original post) with respect to wound care - hydrogen peroxide, betadyne (or similar), and neosporin. Healing was nearly perfect.

Next procedure three weeks later was a large field on the left side. Probably 30 lesions. Same pre and post care. Healing went perfectly.

The fourth procedure was a bit longer in between, 5 weeks. He did the rest of all lesions. Maybe 60+. Only took 10 minutes. Healing again was about a week to 10 days and all went well.
(Note - this time I didn't have my CVS 4% Lidocaine spray. I had a gel. Maybe 1%. Oh my god, don't forget the spray! The "Novocain" shots hurt. And due to the pain, I think there was a bit more swelling that wasn't there the first two sessions. CVS has stopped making/distributing their magical 4% spray in the mid-Atlantic, can't say if it's nationwide, but try to get a spray that works! I've ordered a new spray - 15% - off of Ebay for future use.)

It has been a month since my last procedure. Am I free of the lesions. No, not even close. My lesions tend to present as aneurysms in the capillaries. So, the cautery machine is able to rid me of the largest lesions and decimate the field, for a time. But the capillary walls will be weak, and the aneurysms will return (and some have). Smaller ones have come back their place. Not many, but it wasn't 100% effective. BUT....

Is my physical appearance improved - YES! By far! My lesions (as of now) look more like "discoloration" of the skin over a field, rather than bumps and lumps of blood-blisters! What a vast improvement. I see there are a couple more that have come back after the treatment, and I'll work on those with my new electo-cautery pen that I bought (there is a post about it in this thread, so I got one off of Amazon to try). I may even return in 6 months to my doctor for one more visit.

Right now I'm thrilled that my angiokeratoma is incredibly reduced. And I'll likely continue with a regimen of self-treatment and going to see my dermatologist.

If anyone has any questions at all, please feel free to reach out and ask.

-Bill
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Filmboy,

Great post and your healing regimen certainly is excellent - post wound care is essential to healing, as well as cosmetic success. Thanks for sharing!

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Just wanted to share my experience. Am in my late 40's and had about 30 of these spots on my scrotum including a few large ones that I would estimate being 3-4 mm wide. Am guessing the first one appeared maybe 5 years ago. I am fairly sexually active and have had 5 partners during this period. Never have these spots been noticed by my partner, at least I've never been questioned about them. But, I was definately self conscience about them. Like many here, my doctor diagnosed them as harmless, with no treatment warrented. I took the advise I read hear, and am happy to stay that I am angiokeratoma free now! I didnt use a soldering iron, but bought an electric thread burning tool off Amazon for around $15. Think they are used for crafts. Its the size of a pen and runs off 1 AA battery. The heating element is like a wire loop the instantly get hot when you press the button. Not sure temperture wise how it compares to a soldering iron, but it burns the skin instantly. After I performed this procedure on my self, I was doubtful that it was going to work. My spots all sizzled and popped as described, but didnt look a whole lot different right after treatment. But, the spots all scabbed over shortly after and when the scabs fell off 5 to 6 days later, I was delighted the it was perfect spot free skin underneith. There was no blood when I was performing the procedure, but can say that 1 scab came off prematurely when I was drying off after a shower and I bled like a stuck pig! I used hand sanitizer on my scrotum before and after to disinfect, After that, I did no real aftercare.
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What do you sterilize the soldering iron with? Rubbing alcohol or something else?
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Research Fabry's disease. It causes these. It's a genetic condition and very serious. Consult a physician to be tested and receive treatment.
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I recommend using a bovie cauterizer, search ebay, buy the first one coming up on search for 20 bucks, it has a few advantages over soldering iron, tip is extremely small and easier to use, and it has a button which isnt on/off , its a button you hold to heat the tip, then it gets red hot within a half a second, you release and use. You can put it down and use both hands if something bleeds, without risk of fire.

Second recommendation is to do it before red spots get bigger. The bigger ones are the ones that are more likely to bleed and scab. Many times the smaller ones will just disappear.
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Hi there, just looking for some advice for people who’ve done this a few times.

I tried this two days ago with a soldering iron, I didn’t hear any pops but definitely sizzles and I’m assuming I held it on long enough (often did numerous sort of dabs in quick succession) as most of them seem to have scarred over.

My question is, when they’ve scabbed over, ot after they’ve been done (if they didn’t scab) did you still notice the spots whilst they were healing and then once fully healed they’d disappeared?

I know I only did this two days ago, but I feel like some of the dark spots still seem visible, even on the ones I know I definitely hit. Does this mean I may need to hit them again or do you suspect they’ll clear up as they heal?

I read some comments that said they disappear instantly whereas I don’t think I really noticed that but I know I gave them a really good go.

Appreciate any advice from the veterans lol
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Huge thanks to all your trailblazers. I just cauterized four of my 7. These things are such a psychological issue. Proven by how easily men and women put a soldering iron to their genitals. I am hoping for good results after the healing process. I need a different soldering iron so I can get closer to down for more control.

I really hope there is no maintenance needed but I’ll put 800 degrees to my sack any day to keep them at bay.
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Guys, not sure how much this helps, but what I found is that these spots all appeared on the left size of my scrotum only, which was where I had cut myself somewhat badly when shaving. It seems after the blood clotted, these noticeable spots formed at points across the veins (which also became more noticeable). I noticed these spots a couple of months after the cuts.

Has anyone noticed the same, where this occured in areas where they cut themselves after shaving?

I haven't yet tried the methods in this forum, and haven't read through everything, but I'm hoping there's a better solution than recurring, expensive laser surgery.
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I had a similar theory but I have them popping up on my abdomen, arms and thighs. Chances are high I’m just hyper aware at this point and they were there before. From all my reading, I truly think this relates to increased venous pressure.

So things like high blood pressure, beta blockers, taking stimulants and the such. There is the theory of trauma, such as razors when shaving. It is quite unfortunate definitive causes have not been found.

Promise, soldering your scrotum to rid yourself of these will come very easily as you struggle with their appearance. Soldering other parts of my body is a breeze now.
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The cause is very likely due to increased venous pressure. I think in the case of shaving causing it, in a place like the scrotum, where the skin is thin, when it's cut and starts bleeding, it clots closer to the surface, which causes the spots. Also, the bleeding on a place like the scrotum is insane, even with a small cut, which is probably due to a large number of veins in the area, with the clot from such heavy bleeding leading to the spots we see. There may be many causes for it, on different parts of the body, but my theory is that in certain individuals a cut from a razor on such thin, sensitive skin, with so much potential for bleeding, is a definite cause. Ever since it happened, I've stuck to trimming instead, and haven't observed any new spots.
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Have you considered the cause of these "spots" are angiokeratomas, caused by the genetic rare disease Fabry's? It's a Hallmark of the condition and extremely important to rule out. This coming from someone who found out I had Fabry's based on the red papules on my nutts.
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I've found that using a wart remover has the best results in that in the areas where I used cryotherapy, new spots do not grow back. And contrary to some claims, the white spots that occur after using the wart remover are NOT permanent - they fade to normal skin color after about a month. Only drawback using this method is that one some particular sensitive areas of the scrotum, the residue pain from using the wart remover can last for about a day or two.
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