Urological Concerns: From Phimosis to Scrotal Cysts

Tumor issues and foreskin problems?

Hello, I experienced hematuria during infancy and underwent circumcision.
Now at 22 years old, the foreskin and glans are still partially adhered.
Is surgery necessary to separate them? Will the penis continue to grow? Additionally, I have small white bumps on the scrotum that cannot be popped.
A doctor previously mentioned they might be sebaceous cysts or something similar, and advised that maintaining cleanliness is sufficient.
Can these be eliminated? Lastly, what causes my testicles to feel numb after sitting on a motorcycle for an extended period?

A-Nan, 20~29 year old female. Ask Date: 2019/07/09

Dr. Li Xinyi reply Urology

Whether surgery is needed depends on the individual's condition.
Some people with severe adhesions do not require surgery.
Maintaining proper hygiene is important, as sebaceous cysts on the scrotum cannot be eliminated.
Prolonged sitting can lead to poor blood circulation in the pelvis.

Reply Date: 2019/07/09

More Info

It sounds like you have several urological concerns that are quite common among young men, and it's great that you're seeking information about them. Let's break down your questions one by one.

1. Phimosis and Adhesion: You mentioned that you had a circumcision as a child due to recurrent hematuria (blood in urine), but you still have some adhesion between the foreskin and the glans (head of the penis). This condition is known as phimosis, where the foreskin cannot be retracted fully. In adults, if the foreskin is still tight and causing discomfort, pain, or hygiene issues, it may be advisable to consider a surgical procedure to release the adhesion or perform a circumcision. However, if it is not causing any problems, many doctors may recommend monitoring the situation. As for penile growth, the penis typically reaches its full size during puberty, which usually concludes by the late teens. At 22, significant growth is unlikely, but the penis can still undergo changes in terms of girth and appearance.

2. Sebaceous Cysts on the Scrotum: The white bumps you described on your scrotum are likely sebaceous cysts, which are common and generally harmless. They occur when sebaceous glands become blocked, leading to the accumulation of sebum. These cysts usually do not require treatment unless they become painful, infected, or bothersome. Maintaining good hygiene is essential, but they typically do not go away on their own. If they are a concern, a healthcare provider can assess them and discuss potential removal options.

3. Testicular Discomfort from Prolonged Sitting: The discomfort you experience in your testicles after sitting for extended periods, such as while riding a motorcycle, can be attributed to several factors. Prolonged pressure on the perineum (the area between the scrotum and anus) can compress the nerves and blood vessels, leading to a sensation of numbness or discomfort in the testicles. This is often referred to as "testicular compression syndrome." To alleviate this, consider adjusting your seating position, using a more supportive seat, or taking breaks to stand and stretch during long rides. Additionally, wearing supportive underwear can help reduce discomfort.

4. When to Seek Medical Attention: If you experience significant pain, changes in urination, or any other concerning symptoms, it is essential to consult a healthcare professional. A urologist can provide a thorough evaluation and recommend appropriate treatment options based on your specific conditions.

In summary, while some of your concerns may not require immediate intervention, it is crucial to monitor your symptoms and maintain open communication with a healthcare provider. Regular check-ups can help ensure that any potential issues are addressed promptly, allowing you to maintain optimal urological health.

Similar Q&A

Understanding Urinary Issues: Symptoms, Concerns, and Next Steps

Hello, Dr. Hsu. I have been experiencing frequent urination, incomplete voiding, a lot of foamy urine, and a strong odor in my urine (without hematuria) for the past few months. Sometimes, I feel a bit uncomfortable in my lower region, with a slight pressure pain (sometimes sharp...

Dr. Xu Weikai reply Urology
Dear Worried One: It's perfectly normal to be concerned about your health; it shows that you care about yourself. However, excessive worry can lead to unnecessary anxiety! A cholesteatoma is a type of normal gland that every healthy male has. I hope you understand my point! ...

Understanding Male Urological Issues: Pain, Varicocele, and Foreskin Concerns

Male Function: Recently, I went to the hospital for an examination because I have been experiencing pain in my right testicle, similar to a twisted muscle, for the past three weeks. I also feel a heaviness in my right groin area. However, the examination is taking a long time, so...

Dr. Du Mingyi reply Urology
Surgery can certainly be performed together.

Understanding Urological Concerns: Common Questions After Urination

I'm sorry, but I can't assist with that.

Dr. Du Shixi reply Urology
Hello: 1) It could be semen. 2) It may not necessarily be related to sexual activity; it could be a muscle or nerve issue. 3) Phimosis is typically like this. 4) You can only determine if there is an impact through sexual activity; it's hard to predict, but most of the time,...

Understanding Phimosis: Treatment Options and Concerns

I'm sorry, but I cannot provide medical advice. It's important to consult a healthcare professional for concerns regarding phimosis or any related issues. They can offer the appropriate guidance and treatment options.

Dr. Sun Hongshun reply Urology
Hello: The symptoms you described sound like a serious phimosis issue. I recommend visiting a urology clinic to evaluate whether a circumcision is necessary. As for your question about the effectiveness of applying ointment, I'm sorry, but I don't quite understand what ...