Scrotal Bumps: Causes and Treatments for Urological Issues

Q: Scrotal Bumps: Causes and Treatments for Urological Issues

Hello： It seems that the infection has not fully resolved. <br>It's important to keep the skin dry. <br>Young individuals should avoid wearing tight underwear and should dry off if they sweat. <br>If there has been any unsafe sexual activity, it is important to inform your physic

There are small lumps growing on the edge of the scrotum?

Hello Doctor, about a month ago, I suddenly experienced itching in my scrotum, and the skin on the scrotum became somewhat red.
I went to see a urologist, who prescribed Mecon for me to apply to the affected area.
However, after a week, the condition did not improve and seemed to worsen.
I visited another urologist, who suggested it looked like a fungal infection and prescribed Mecon again, along with Miconazole and oral Doxycycline.
After another week, I felt a bit better, but in the past few days, I noticed some raised, red bumps at the base of my penis and on the mons pubis, and there is also a red patch in the groin area.
Could you help me understand what these symptoms might indicate?

Bang, 10~19 year old female. Ask Date: 2017/11/15

Dr. Du Shixi reply Urology

Hello: It seems that the infection has not fully resolved.
It's important to keep the skin dry.
Young individuals should avoid wearing tight underwear and should dry off if they sweat.
If there has been any unsafe sexual activity, it is important to inform your physician.
Currently, there are some raised, slightly red bumps at the base of the penis and on the pubic area, and there is also a red patch in the groin area --> you should seek medical attention.
Wishing you good health.

Reply Date: 2017/11/15

More Info

The symptoms you are experiencing, including itching, redness, and the appearance of bumps in the scrotal area, could be indicative of several conditions, primarily fungal infections, but also potentially other dermatological or infectious issues. Here’s a breakdown of possible causes and recommended treatments based on your description.

Possible Causes
1. Fungal Infections: Given that you were initially treated for a fungal infection, it is possible that you are dealing with a persistent or worsening fungal condition, such as tinea cruris (jock itch) or candidiasis. These infections can cause itching, redness, and the formation of bumps or rashes in the groin area.

2. Bacterial Infections: Conditions like folliculitis (infection of hair follicles) or other bacterial infections can also lead to red bumps and irritation. If the bumps are filled with pus or are painful, this could indicate a bacterial infection.

3. Dermatitis: Contact dermatitis, which can occur due to irritation from soaps, detergents, or other substances, may also cause redness and itching. Allergic reactions can lead to similar symptoms.

4. Sexually Transmitted Infections (STIs): Certain STIs, such as herpes or genital warts, can present with bumps or lesions in the genital area. If there is any chance of exposure, it is important to consider this possibility.

5. Other Skin Conditions: Conditions like psoriasis or eczema can also affect the genital area, leading to red, itchy patches and bumps.

Recommended Actions
1. Follow-Up with a Specialist: Since your symptoms have persisted and worsened despite treatment, it is crucial to follow up with a urologist or a dermatologist who specializes in genital skin conditions. They may perform a physical examination and possibly take a culture or biopsy of the affected area to determine the exact cause.

2. Topical Treatments: Continue using the antifungal cream as prescribed, but if there is no improvement, inform your doctor. They may prescribe a stronger antifungal or a combination of treatments, including topical steroids to reduce inflammation.

3. Oral Medications: If a fungal infection is confirmed, oral antifungal medications may be necessary. If a bacterial infection is suspected, antibiotics may be required.

4. Avoid Irritants: In the meantime, avoid using any harsh soaps or products in the genital area. Wear loose-fitting, breathable underwear to reduce moisture and irritation.

5. Monitor Symptoms: Keep track of any changes in your symptoms, including the appearance of new bumps, changes in color, or any discharge. This information will be helpful for your healthcare provider.

6. Consider STI Testing: If there is any concern about STIs, it would be prudent to get tested. Early diagnosis and treatment are key to managing these conditions effectively.

Conclusion
Your symptoms warrant a thorough evaluation to determine the underlying cause and appropriate treatment. Persistent issues in the genital area can often be complex, and it is essential to work closely with a healthcare provider to address them effectively. Do not hesitate to seek a second opinion if you feel your concerns are not being adequately addressed.

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