Immediate clearance of Angiokeratoma of Fordyce
Using Hyfrecation, you don’t need to wait for results to be seen
Same Day Treatment
For those who have filled out the questionnaire with images
Friendly & Professional
Our experienced clinicians are here to make the process as smooth & easy as possible for you
Our Method – Hyfrecation
Cream, Injection, Gas and Air
Number of visits
Procedure + Follow Up (if needed)
Length of appointments
60 minutes + 30 minutes (if needed)
Continue with your day, minimising physical activity
Whilst Hyfrecation is an established treatment method and has been in practice for more than 80 years, it is a lesser well known method of treatment compared to Laser in the UK.
Hyfrecation is a minor surgical procedure that works by burning off skin lesions using electrocautery and results in the immediate clearance of these lesions.
Carried out under local anaesthesia, Hyfrecation is a very safe procedure which achieves clear results in almost 100% of patients for the treatment of Angiokeratoma of Fordyce. Sometimes a touch up may be needed a couple of weeks later to achieve the best results.
The procedure will leave a small raw area which should heal over in a few days. Being a medical procedure, it is essential to be aware of any possible side effects.
Possible short term side effects include bleeding, bruising, soreness and infection. Long term side effects are rare, but can include change in skin colour, scarring, development of neuralgic pain and loss of sensation over the treated area.
When should I receive treatment for Angiokeratoma of Fordyce?
For most patients, Angiokeratoma of Fordyce does not cause any symptoms and therefore doesn’t require treatment. All treatment options are only for cosmetic purposes. You do not need to be treated if your life is not significantly affected.
If you find that your relationships, wellbeing and lifestyle is affected, we will discuss this with you to ensure that treatment is the right option for you.
In some circumstances, it is appropriate to treat the angiokeratomas for medical reasons. For example:
- The lesions tend to bleed spontaneously or after minor trauma. They tend to bleed a lot if accidentally cut whilst shaving.
- The lesions can sometimes look like warts, and your partner(s) may become concerned with the lesions’ appearance.
- The lesions continue to grow in size rapidly.
- The lesions, being filled with blood, produce a sense of warmth or itching.
- Presence of lesions is undermining your confidence and self-esteem.
- The lesions affect your lifestyle and wellness, especially regarding fitness, high intensity sports and cycling.
How do I know if I am eligible for treatment?
Whilst it is only after seeing you that we can make sure that you are eligible for treatment, submitting our questionnaire (with pictures) will provide us with a very good idea of whether we can offer you treatment or not.
Can I be treated for Angiokeratoma of Fordyce if I have been treated before?
Yes, most certainly.
We occasionally take on patients who have had laser treatment in the past and are seeking further treatment due to an unsatisfactory outcome or recurrence. Hyfrecation treatment can be safely performed in such patients with excellent results.
From what age can I get this treatment?
We can see patients from the age of 18 and above at our clinic.
Are there any health conditions that might stop me from getting this treatment?
Occasionally, patients may have one of the following issues affecting the genital skin which needs to be addressed before undertaking the hyfrecation treatment. These include:
- Infection of the surrounding skin.
- An outbreak of Genital herpes.
- Localised active Inflammatory conditions of the genital skin (for example, eczema).
- If you suffer from diabetes, and your sugar levels are out of control.
- If you suffer from hypertension, and your blood pressure is not controlled.
The consultation and procedure happen in one appointment, as long as it’s safe to do so.
In order to be prepared and leave plenty of time for discussion and procedure, we will ask you to fill out a simple questionnaire.
We will assess and confirm your Angiokeratoma of Fordyce and then discuss any questions you have and treatments available.
We recommend a follow up (within 4 weeks) to ensure that we’ve done a good job and if any further treatment is needed, we want to do it for you.
If you’ve just had treatment from us and are seeking advice on recovery and after, we’ve got the right information for you just here.
Can Angiokeratoma of Fordyce be cured?
Most people who are treated for Angiokeratoma of Fordyce do not show recurrence of their lesions and do not need to return for further treatment. However, as with any treatment, this is not something we can guarantee.
Those who have rare underlying metabolic conditions like Fabry disease, are more likely to have recurring lesions.
Are Angiokeratoma of Fordyce the same as Fordyce spots?
No. Angiokeratoma of Fordyce is essentially an enlargement of blood vessels, producing blood filled lesions. They tend to become more common as we become older, but can also develop in those in their 20’s.
Fordyce spots, on the other hand, is a normal anatomical variation of genital skin, and are first noted during adolescence. These lesions are not blood filled and they are slightly yellowish in colour.
What benefits are there to treating Angiokeratoma of Fordyce?
Most patients do not feel any discomfort from the angiokeratomas, however, some patients may feel a bit of discomfort accompanied by a sense of warmth and itching. Due to their vascular nature, they tend to bleed a lot if traumatised or accidentally cut during shaving or trimming. Sometimes simply rubbing against the angiokeratomas is enough to make them bleed. If this is something you experience, it may benefit you to have your Angiokeratoma of Fordyce removed.
Furthermore, their appearance can be perceived as unsightly, or they may be mistaken for a sexually transmitted infection which can cause significant stigma. People who are distressed by Angiokeratoma of Fordyce may benefit from treatment to improve their self-esteem, confidence, and overall sex life.
Is there anything I can do at home if I have Angiokeratoma of Fordyce?
No. There are no home remedies that have been shown to be effective at removing Angiokeratoma of Fordyce. If you have angiokeratomas, it is highly discouraged to attempt any home remedies, including physical removal, burning, squeezing or “popping” the lesions, or applying any over-the-counter remedies.
Before the appointment
How can I prepare for my appointment?
We recommend that you do the following before your appointment:
- Shower on the day of your appointment to reduce the risk of infection.
- Have a meal in the morning of the procedure.
- Take 2 paracetamol tablets, 1 hour before your appointment time for pain relief.
We recommend that you drive or use public transportation to attend your appointment and to get home. Cycling is not recommended.
Will I need to take time off after my appointment?
You typically do not need to take time off after treatment of your Angiokeratoma of Fordyce. You will be able to go about your day as usual, unless you have a very physically demanding job. Avoid undertaking heavy physical exercise for 48 hours after the procedure.
Can I bring someone with me?
Yes. You can bring your partner, friend or family member to your appointment.
However, if you feel that you would rather not bring someone to the appointment, rest assured that our staff are here to support you and make you comfortable in any way possible. Clarewell Clinics is a safe space.
What travel arrangements should I make for after the appointment?
You do not need to make any special arrangements for after your procedure. However, if you would feel more comfortable, you may request a family member, friend or partner to accompany you on the way home.
Will my insurance cover this procedure?
We currently do not deal with insurance companies ourselves. You will need to check with your healthcare insurance provider if they cover treatment for Angiokeratoma of Fordyce. We highly recommend getting approval in writing to avoid any miscommunication with your insurance company.
During the appointment
How will the appointment work?
When you arrive for your appointment, we will invite you in for the initial consultation.
Once we have reviewed your lesions, we will proceed to prepare you for the procedure (as long as you have booked in for same day treatment). This will involve going through the consent form, taking any pre-procedure pictures and applying the numbing cream in privacy.
After letting the numbing cream settle for approx. 15-20 minutes, we will check to make sure the area is numb and then continue to remove the lesions using hyfrecation, if you still wish to go ahead with treatment.
After the procedure, we will offer you aftercare advice and provide you with an aftercare pack to help with the recovery.
Will the procedure hurt?
The numbing cream is there to make the procedure as painless as possible. Your clinician will confirm the total numbness of the skin before undertaking the procedure.
Can I listen to my music during the procedure?
Yes, absolutely you can. Please let us know at the time of your booking (or upon your arrival) so that we are ready to accommodate your wishes.
After the appointment
What should I expect after my appointment?
You may experience a little soreness at the site. This is completely normal, and you may wish to take painkillers to reduce the discomfort. It usually takes 1-2 weeks for the skin to heal and for most side effects to disappear.
How long will it take for my side effects to go away?
Most discomfort that you may feel in the operative area should disappear within a day or two. This will of course vary depending on the extent of the lesions that were treated.
What do I do if I think I have a problem after the appointment?
We recommend all patients have a thorough read of the information above as it will help with key questions.
If you think that something is wrong, please request a follow up call by contacting our clinic.
How soon after my appointment can I have sex?
It is advised to abstain from sex and avoid masturbation until healing is complete (approx. 1-2 weeks). Having intercourse during the healing process can increase the risk of infection, scarring or bleeding.
Will I require a follow up appointment after my appointment?
Your clinician can sometimes see a residual lesion that you may not be able to identify. As such, all patients are offered a follow-up appointment within 4-6 weeks after their procedure. This will also give you a chance to ask any further questions that you may have.
Don’t wait months.
Genital Dermatology Consultation £150
Genital Dermatology Consultation + Main Procedure + Follow Up From £525
Follow up (within 4 weeks) Included
Find out if you can claim your visit
Page reviewed by Ms. Magdalena Nowacka
Page written by Shannon Abraham
Last reviewed date: 13 June 2023
Next review due: 13 June 2026
Whilst this content is written and reviewed by sexual health specialists, it is for general guidance only. It is not intended to replace the advice of your clinician.
References & Further Reading
- StatPearls: Angiokeratoma Circumscriptum
- SpringerLink: Penile Angiokeratomas (PEAKERs) Revisited: A Comprehensive Review
- Frontiers in Medicine: Dermoscopic Features Summarization and Comparison of Four Types of Cutaneous Vascular Anomalies
- Hindawi Dermatology Research and Practice: Fordyce Angiokeratoma: Comparison of Cryotherapy and Electrocauterization Treatments
- National Library of Medicine: Fabry Disease