Scrotal Lumps: When to See a Urologist or Dermatologist

Q: Scrotal Lumps: When to See a Urologist or Dermatologist

Hello： If there is a lump, it is primarily due to inflammation. <br>Keep the area clean and dry, pay attention to your immune system, and avoid moisture. <br>You can consult either the urology or dermatology department at the hospital. <br>Wishing you good health.

Swelling on the surface of the left scrotum?

Hello, doctor.
A few weeks ago, while taking a shower, I accidentally felt a lump on the left side of my scrotum (approximately in the middle of the left scrotum, not protruding above the skin surface but located beneath the skin).
At that time, I didn't see a doctor immediately, but last week the lump grew larger and part of it protruded above the skin surface, appearing slightly red with a diameter of about 1 cm, resembling a large pimple.
I promptly visited a dermatologist, and according to the doctor, I have scrotal eczema, which may have been scratched and repeatedly inflamed, leading to a scar formation.
The doctor prescribed medication for eczema (Fluocinolone acetonide) and mentioned that it could be applied to the lump to help it shrink, although it may not completely disappear.
However, I have been applying it for almost two weeks, and there has been no change in the lump.
What could this possibly be? Should I see a urologist or continue with the dermatologist?

Aisa, 30~39 year old female. Ask Date: 2019/05/23

Dr. Du Shixi reply Urology

Hello: If there is a lump, it is primarily due to inflammation.
Keep the area clean and dry, pay attention to your immune system, and avoid moisture.
You can consult either the urology or dermatology department at the hospital.
Wishing you good health.

Reply Date: 2019/05/23

More Info

When it comes to scrotal lumps, it's essential to approach the situation with caution and seek appropriate medical advice. Based on your description, you have a lump on your left scrotum that has increased in size and has become slightly red. This situation warrants further evaluation, especially since it has not improved with the treatment prescribed for your eczema.

Scrotal lumps can arise from various causes, including cysts, infections, or even more serious conditions such as tumors. Given that your dermatologist has suggested that the lump may be related to your existing condition of scrotal eczema, it is possible that the lump is a result of inflammation or irritation leading to a secondary infection or a scar tissue formation. However, the fact that it has not responded to treatment in two weeks is concerning and suggests that further investigation is necessary.

You may consider seeing a urologist for a few reasons. Urologists specialize in male reproductive health and conditions affecting the urinary tract, which includes the scrotum. They can provide a more targeted evaluation of the lump and determine if any further diagnostic tests, such as an ultrasound, are needed to rule out any serious underlying conditions. Additionally, if the lump is indeed a cyst or another benign condition, a urologist would be well-equipped to manage it.

On the other hand, if the lump is primarily related to your skin condition, a dermatologist may also be appropriate. They can assess whether the lump is a result of your eczema or if it has developed into a separate dermatological issue. In some cases, a multidisciplinary approach may be beneficial, where both specialists collaborate to provide comprehensive care.

In terms of treatment, if the lump is due to inflammation or infection, the urologist may prescribe a different topical treatment or even oral medications to address the issue. If it is determined to be a cyst or another benign growth, options may include monitoring it or, if necessary, surgical removal.

In summary, given the persistence and changes in your scrotal lump, it would be prudent to consult a urologist. They can provide a thorough evaluation and determine the best course of action. Meanwhile, continue to manage your eczema as directed by your dermatologist, but do not hesitate to seek further medical advice regarding the lump. Early intervention can often lead to better outcomes, so addressing your concerns promptly is essential.

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