Dermatologist is the best specialist for keloid scars

Dear Dr. Roach: I am 77, active and in good shape. I was diagnosed with a ventral hernia following open heart surgery. The skin from breasts to waist is covered in scar tissue, which is growing thicker. It is causing discomfort. I have seen two surgeons and an internal medicine doctor, but they claim to know nothing about this and have offered no referral, nor any treatment. I have read it can be fatal. Who can I see? — A.G.L.

Dear A.G.L.: Thick scar tissue growing following surgery sounds like a keloid. Some people are prone to developing these scars, which are raised, sometimes red, and continue to grow. They can be uncomfortable and can grow so large that it may be difficult to move parts of the body. However, keloids are not fatal.

Treatment can be challenging, but there are experts who specialize in keloids, and many ways to treat them. These include injecting a steroid into the scar and laser or surgical treatments. A dermatologist is likely to be able to diagnose and treat keloids.

Dear Dr. Roach: I read in your column about a man having erectile dysfunction because sildenafil was no longer effective. I had a radical prostatectomy and suffered ED after. Using sildenafil and a manual vacuum pump, I was able to achieve erectile function and still do. I think a lot of men suffering from ED do not know the benefits. — W.S.

Dear W.S.: Vacuum devices are a reasonable choice for men with erectile dysfunction. They work by increasing blood flow into the erectile tissue of the penis, then an occlusive ring is used to prevent the blood from leaving. After six months, one study found satisfaction rates over 80%.