Scrotal Growths: Are They Warts or Something Else?

Are the two lumps on the scrotum warts?

There are two growths on the scrotum.
Could they be warts? They are of different colors, but under magnification, they do not appear to have a cauliflower-like texture; instead, I see many indentations, and upon closer inspection, it seems like three growths are fused together.
I visited a urologist last week, and the doctor indicated that they are not warts but was unsure what they are, advising me to treat them as if they were warts.
After a week of observation, there has been no significant increase in size.
In the image, there are two growths: one is black, and the other is flesh-colored.
I would appreciate any guidance on whether these could be warts.
Thank you very much.

Awei, 20~29 year old female. Ask Date: 2016/09/22

Dr. Sun Hongshun reply Urology

Hello, it appears to be a viral wart.
Please visit a dermatology clinic for a definitive diagnosis and subsequent treatment.

Reply Date: 2016/09/22

More Info

When it comes to scrotal growths, it's essential to approach the situation with caution and a clear understanding of the potential causes. Based on your description, it seems you have two growths on your scrotum that differ in color and have a texture that does not resemble the typical cauliflower-like appearance associated with genital warts (also known as condylomata acuminata). The fact that a urologist has already examined these growths and determined they are not warts is a positive sign, but it leaves you with questions about what they might be.

Genital warts are caused by certain strains of the human papillomavirus (HPV) and are characterized by their cauliflower-like appearance. They can appear as small, flesh-colored or gray growths and can sometimes be itchy or uncomfortable. However, since your growths do not exhibit this typical appearance and have not shown significant changes in size over the past week, it is likely that they are not warts.

There are several other possibilities for scrotal growths, including:
1. Sebaceous Cysts: These are common, benign lumps that can occur on the scrotum. They are usually small, round, and can be skin-colored or slightly yellow. They occur when sebaceous glands become blocked.

2. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans penis and are often mistaken for warts. They are normal anatomical variations and do not require treatment.

3. Molluscum Contagiosum: This is a viral infection that can cause small, firm, raised bumps on the skin. These bumps can be flesh-colored or have a central dimple.

4. Fibromas or Lipomas: These are benign tumors made up of fibrous or fatty tissue, respectively. They can occur anywhere on the body, including the scrotum.

5. Other Skin Conditions: Conditions like folliculitis, dermatitis, or other benign skin growths can also present as lumps on the scrotum.

Given that your urologist has recommended monitoring the growths and treating them as if they were warts, it may be beneficial to follow up with them if there are any changes in size, color, or discomfort. If the growths remain stable and asymptomatic, they may not require any intervention. However, if you notice any new symptoms, such as pain, itching, or changes in appearance, it would be wise to seek further evaluation.

In summary, while your growths do not appear to be genital warts based on your description and the urologist's assessment, it is essential to keep an eye on them. If you have any concerns or if they change in any way, do not hesitate to consult your healthcare provider for further evaluation. Regular check-ups and open communication with your doctor are key to ensuring your health and peace of mind.

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