Scrotal Bumps: When to Seek Medical Advice - Urology

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Issues with the appearance of the scrotum?


I recently discovered that there seems to be a small bump on the outside of my scrotum, about the size of an acne pimple.
It doesn't cause any issues when not touched, but it feels a bit itchy when I touch it.
Squeezing it causes a slight pain, similar to squeezing a pimple on the skin.
I usually do not engage in sexual activity.
Should I get this checked?

Wu, 30~39 year old female. Ask Date: 2018/05/04

Dr. Du Shixi reply Urology


Hello: Keep it clean.
If it gets larger and feels like it has pus, you should seek medical attention.
Wishing you cleanliness.

Reply Date: 2018/05/04

More Info


When it comes to scrotal bumps, it’s essential to understand that while many may be benign, some can indicate underlying health issues that require medical attention. Based on your description of a bump on your scrotum that resembles a pimple, is itchy, and causes slight pain when pressed, there are several possibilities to consider.

Firstly, it’s important to note that scrotal bumps can arise from various causes, including:
1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial infection. It can present as small, red, pus-filled bumps that may be itchy or painful.

2. Sebaceous Cysts: These are non-cancerous lumps filled with sebum, a substance produced by sebaceous glands. They are usually painless unless they become infected.

3. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the penis and are often mistaken for warts or other lesions.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray growths. They may be itchy or uncomfortable.

5. Herpes Simplex Virus (HSV): If the bump is accompanied by blisters or sores, it could be a sign of genital herpes, which requires medical evaluation.

6. Other Infections: Conditions such as scrotal dermatitis or fungal infections can also cause bumps and irritation.

Given that you mentioned the bump is similar in size to a pimple and causes some discomfort when touched, it’s advisable to seek medical advice. Here are a few reasons why:
- Diagnosis: A healthcare professional can provide a proper diagnosis through a physical examination and, if necessary, additional tests. This is crucial to rule out any serious conditions, especially if there is a possibility of sexually transmitted infections (STIs).

- Treatment Options: Depending on the diagnosis, treatment may vary. For instance, if it’s an infection, antibiotics or antifungal medications may be required. If it’s a cyst or another benign condition, monitoring or minor surgical intervention might be appropriate.

- Peace of Mind: Even if the bump turns out to be benign, having it checked can alleviate anxiety and provide reassurance about your health.

In conclusion, while it may be tempting to wait and see if the bump resolves on its own, it’s generally better to err on the side of caution. Scheduling an appointment with a healthcare provider will allow you to address your concerns and receive appropriate care. Remember, your health is paramount, and early intervention can often lead to better outcomes.

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