When this patient was a kid he got a paraphimosis. He never spoke about...

Fibrosis progressively made lesion irreversible... that is the official story and in fact old paraphimosis can have that kind of appearance... but maybe I asked questions in a wrong way....

Another story can be that the patient inject too much silicone in his own foreskin...

Patient die before I got occasion to go deeper in the subject

1=former herpes lesion

See "15-genital fantasy"& "17-herpes"