Scrotal Skin Issues: When to Seek Medical Help

May I ask the doctor?

Dear Doctor: I apologize for asking again, but I have a question.
I discovered a bump on the skin of the scrotum that looked like a pimple yesterday, and it had a bit of a head.
Since the elderly person is reluctant to seek medical attention, I couldn't help but squeeze it, and a white substance resembling a comedone came out.
Although the bump is gone, it has left a small wound that looks like a popped pimple.
Given that the skin in the genital area is sensitive, I am hesitant to apply any other ointments and have only used Betadine for disinfection.
This morning, when I changed the dressing, it appeared a bit red and had some serous discharge.
Could this be an infection? I have only used Betadine for disinfection.
Can I apply a tetracycline eye ointment as an antibiotic, or is it better to clean it with saline solution? How long does it usually take for such a wound to heal on its own? If there is no improvement after a certain period, when should I seek medical attention? I apologize for continuously asking these questions, and I am very grateful for your help.

vivian244, 50~59 year old female. Ask Date: 2017/08/14

Dr. Du Shixi reply Urology

A physician must not administer treatment, prescribe medication, or provide a diagnosis without a personal examination.
Hello: Redness indicates inflammation.
If there is a wound, it is essential to cover it with a gauze to prevent a worsening infection.
Tetracycline can be used, but it should not be left on for too long without effect.
Since this is in the scrotal area, it may require a week.
If the redness persists or there is ongoing discharge, medical attention is necessary.
Wishing you good health.

Reply Date: 2017/08/14

More Info

When it comes to skin issues in sensitive areas such as the scrotum, it is essential to approach the situation with care and understanding. Based on your description, it seems that your elderly relative has developed a small bump on the scrotal skin, which you attempted to express, leading to a small wound. The presence of redness and discharge suggests that there may be some inflammation or irritation occurring.

First and foremost, it is crucial to avoid squeezing or popping any bumps or lesions in sensitive areas, as this can lead to further irritation, infection, or scarring. The skin in the genital area is particularly delicate, and any trauma can result in complications. In this case, since you have already noticed some redness and discharge, it is possible that the area is becoming infected or is at least inflamed.

Using a topical antiseptic like Betadine (povidone-iodine) is a reasonable first step for cleaning the area. However, it is important to monitor the wound closely. If the redness increases, if there is significant swelling, or if there is an increase in discharge (especially if it becomes purulent or foul-smelling), these could be signs of an infection that requires medical attention.

Regarding the use of tetracycline eye ointment, it is generally not recommended to apply medications that are not specifically formulated for the area in question. While tetracycline is an antibiotic, using it on the scrotal skin could lead to irritation or an allergic reaction, especially since the skin is already sensitive. Instead, it would be better to use a topical antibiotic ointment that is designed for skin use, such as bacitracin or mupirocin, if you have access to it and if there are no contraindications.

Cleaning the area with saline solution is a good idea as well. Saline can help keep the area clean without causing additional irritation. After cleaning, if the wound appears to be healing well (i.e., less redness, no increase in discharge), you can continue to monitor it at home. However, if the wound does not show signs of improvement within 48 to 72 hours, or if it worsens, it is advisable to seek medical attention.

In terms of healing time, minor skin wounds can take anywhere from a few days to a couple of weeks to heal, depending on various factors such as the individual's overall health, age, and the care provided to the wound. If your relative has any underlying health conditions (such as diabetes), this could also affect healing time.

In summary, while it is understandable to want to manage the situation at home, it is crucial to keep a close eye on the wound. If there are any signs of infection or if the condition does not improve, it is important to seek medical help. A healthcare professional can provide a proper assessment and treatment plan, which may include prescription medications if necessary. Your relative's comfort and health should always come first, and sometimes that means seeking professional care, even if it is met with some reluctance.

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