Skin Changes on the Penis and Scrotum: What You Need to Know - Urology

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The color of the foreskin and the small flesh-colored bumps on the scrotum?


[1] The skin on the glans penis has a color similar to a light dusting of powdered sugar, and it is neither painful nor itchy.
This has been observed for at least several months.
[2] There is a small lump on the scrotum, located slightly to the right of the center.
It is about the size of half a soybean, with the lower part matching the color of the scrotum and the upper part having a darker coloration (similar to dried blood).
It is not hard to the touch, but it can be distinctly felt while bathing, and it is neither painful nor itchy.
This has also been noted for at least several months.

-3-, 30~39 year old female. Ask Date: 2017/08/16

Dr. Du Shixi reply Urology


1) If it cannot be washed off, it indicates a change in the skin; if it can be washed off, then it is dirt.
2) It could be a result of a ruptured blood vessel causing a hematoma (this is just a possibility).
It is advisable to seek medical attention.
Wishing you good health.

Reply Date: 2017/08/16

More Info


When it comes to skin changes on the penis and scrotum, it is essential to approach the situation with care and understanding. The symptoms you describe, such as a powdery appearance on the foreskin and a small, soft bump on the scrotum, can be concerning but are not uncommon. Here’s a breakdown of what you might be experiencing and what steps you should consider.


Understanding the Symptoms
1. Powdery Appearance on the Foreskin: The description of a powdery or flaky appearance on the foreskin could indicate a few different conditions. One possibility is a benign condition known as keratosis, which can occur due to a buildup of dead skin cells. Another possibility is seborrheic dermatitis, which can cause flaking and is often associated with oily skin. It’s also important to consider the role of hygiene and moisture levels, especially in warmer climates or during periods of increased sweating.

2. Small Bump on the Scrotum: The small bump you describe on the scrotum could be a sebaceous cyst, which is a common and harmless growth that occurs when a sebaceous gland becomes blocked. These cysts are usually painless and can vary in color, sometimes appearing darker if they contain dried sebum or blood. Other possibilities include pilar cysts or lipomas, which are also benign. However, any new growth should be monitored for changes in size, color, or sensation.


When to Seek Medical Attention
While many skin changes can be benign, it is crucial to consult a healthcare professional for a proper diagnosis, especially if:
- The symptoms persist or worsen over time.

- You notice any changes in the characteristics of the bumps or skin (such as increased redness, pain, or discharge).

- You experience any other symptoms, such as itching, burning, or discomfort.


Treatment Options
1. Topical Treatments: If the powdery appearance is due to a condition like seborrheic dermatitis, a topical antifungal or steroid cream may be prescribed to reduce inflammation and flaking. However, it is essential to avoid self-medicating without professional guidance.

2. Hygiene Practices: Maintaining good hygiene is vital. Regular washing with mild soap and ensuring the area is dry can help prevent irritation and buildup of skin cells. Avoiding harsh soaps or irritants is also recommended.

3. Observation: For benign bumps, observation may be the best course of action. If the bump remains unchanged and is not causing discomfort, it may not require treatment. However, regular self-examination is important to catch any changes early.


Conclusion
In summary, while the symptoms you describe may not be immediately alarming, they warrant a thorough evaluation by a healthcare provider. Conditions affecting the genital area can vary widely, and a professional assessment will help determine the appropriate course of action. Remember, it’s always better to err on the side of caution when it comes to changes in your skin, especially in sensitive areas. Regular check-ups and open communication with your healthcare provider can help ensure your skin health is maintained.

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