Is Sclerotherapy a Possibility for Broken Penis Veins?

Occasionally I am asked about treating penile veins.  In general, I am reluctant to treat these veins since there is always the risk that the sclerotherapy solution or foam can migrate into the larger penile veins to affect the erection.  If the cause of the veins is not a urologic problem then treating the veins is strictly a cosmetic procedure with associated risks.

I agree that a urologist should exclude underlying conditions and perhaps offer you sclerotherapy if he/she recommends that ... a urologic examination is warranted along with ultrasound of the scrotum and pelvis. 

This is an issue I would address with a urologist.  Injecting veins in this area would be out of the realm of most dermatologists' areas of expertise.

While in theory most small veins can be treated with sclerotherapy, in this very sensitive region, I would recommend you visit a urologist first to rule out any other possible issues. Assuming the urologist is fine with this type of a treatment and doesn't find anything else to be concerned about, I would think it would be ok. But I would recommend both physicians speak before you schedule any treatments.

A good evaluation by a urologist would be essential for both the reassurance that there is no underlying problem causing the veins to enlarge as well as whether or not there are any safe treatment options to consider. This would not be something that I think can be safely treated by any other specialist.