Pubic Keloid:

Pubic area is another particular part of the body that is prone to keloid formation, obviously in those who are genetically prone to keloid disorder.   Ingrown hair and  lower abdominal and pubic area surgery, commonly due to C-Section are the two most important triggering factors for pubic keloids.  These keloids are more common among African American women and somewhat less common in men.

The clinical presentation of pubic keloids is somewhat variable.   As depicted in following images, pubic keloids start as a small papule that can grow over time.  Among Asian/Caucasian women, pubic keloid remain small and very limited in number.   Among African/African American women however, the primary pubic keloids can become tumoral and expand in size.  The worse cases of pubic keloids are seen with women who have recurrent keloids after surgical attempt to remove a primary pubic keloid.

pubic-keloid1

Small pubic area linear keloid in a young Asian female. Treating such a lesion with our current treatments will be an ongoing process and will take many months, if not years.

pubic-keloid3

Pubic keloidal tumor in a young Asian female. Cryotherapy is best treatment option for these keloids.

Multiple pubic area keloids in a young African American female.

Multiple pubic area keloids in a young African American female.

Multiple keloid tumors in a young African American female.

Multiple keloid tumors in a young African American female. Bulky and tumoral keloids are best treated with cryotherapy.

pubic-keloid2

Nodular pubic keloids in a young Caucasian female.

Typical post C-Section keloid in a young African American female.

Typical post C-Section keloid in a young African American female.

massive pubic keloid

Very advanced and massive pubic keloid in a young African American female, triggered by repeated surgeries to remove smaller pubic keloids.

Massive Pubic Keloids

Another example of very advanced and massive pubic keloid in a young African American female, triggered by repeated surgeries to remove smaller pubic keloids.

Treatment of Pubic Keloids:

Pubic keloids vary in size and shape, as such the treatment has to be customized for each patient.  Surgery and Radiation therapy must be avoided in treating pubic keloids, as they both carry a very high risk of worse outcome.   All pubic keloids have to be treated with non-surgical means.  Cryotherapy is the best treatment for bulky pubic keloids.  Intra-lesional steroid injections are safest treatment for very small pubic keloids in Asian and Caucasian patients.