Scrotal Issues: Causes and Prevention of Folliculitis - Urology

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Scrotal issues


Hello, doctor.
I later went to see a physician who diagnosed me with folliculitis.
I would like to ask if my action of lifting my penis during DIY could cause folliculitis.
I can't understand how such an action could lead to inflammation, or if it was just a coincidence.
Additionally, I asked that physician how to prevent folliculitis, and he suggested wearing more breathable underwear.
However, I have been wearing athletic shorts at home lately, and I used to not have any inflammation, so it seems unreasonable that I would develop it now, even though I tend to sweat a lot in the thigh and groin area.
Lastly, I would like to ask if a small hard lump that forms will recur, especially if I accidentally handle it roughly during DIY.
Do you have any other suggestions on how to prevent folliculitis, considering I sweat a lot? Thank you!

daomai de ren, 10~19 year old female. Ask Date: 2019/07/28

Dr. Li Xinyi reply Urology


When doing DIY, it's important to pay attention to lubrication (to avoid injuries) and cleanliness (to prevent wound infections or urinary tract infections).
I'm not sure if your folliculitis is related to this, but as that doctor mentioned, you should avoid wearing tight pants and sitting for long periods (maintain loose and cool conditions).
Keeping both your body and mind healthy (to boost your immunity) is essential.
Is recurrence possible? Yes, it can happen.
If it recurs, it's advisable to see a urologist for examination and treatment.
Do not apply medications indiscriminately or attempt to squeeze it yourself.

Reply Date: 2019/07/28

More Info


Folliculitis is an inflammation of the hair follicles, often caused by bacterial infection, irritation, or blockage. In the context of scrotal issues, it can manifest as red, itchy bumps or pustules in the affected area. Your question about whether the act of lifting the penis during DIY activities could lead to folliculitis is quite insightful. While it may seem unlikely that such a specific action would directly cause folliculitis, it is possible that any friction, irritation, or trauma to the skin in that area could contribute to inflammation or infection of the hair follicles.
The skin in the groin area is sensitive and can be prone to irritation from various activities, including vigorous movements or tight clothing. If the skin is already compromised or if there is excessive sweating, which you mentioned is a concern for you, the risk of developing folliculitis increases. Sweat can create a moist environment that is conducive to bacterial growth, particularly if combined with friction from clothing or activities.
Regarding your doctor's advice to wear more breathable underwear, this is indeed a practical recommendation. Breathable fabrics allow for better air circulation, which can help reduce moisture buildup and decrease the likelihood of folliculitis. If you are prone to sweating, consider wearing moisture-wicking fabrics that can help keep the area dry.
As for your concern about the small hard lump that has formed, it is essential to monitor it. If it is a result of folliculitis, it may resolve on its own, but if it persists or becomes painful, it would be wise to consult a healthcare provider. Recurrence of folliculitis can happen, especially if the underlying causes, such as friction or excessive sweating, are not addressed.
To prevent future episodes of folliculitis, consider the following strategies:
1. Maintain Hygiene: Regularly wash the area with mild soap and water, especially after sweating or physical activity. Ensure the area is thoroughly dried afterward.

2. Wear Loose Clothing: Opt for loose-fitting underwear and pants to reduce friction and allow for better airflow. Avoid tight clothing that can trap moisture and heat.

3. Avoid Irritants: Be cautious with products that may irritate the skin, such as heavily scented soaps or lotions. If you notice any irritation, discontinue use.

4. Manage Sweat: If you tend to sweat excessively, consider using antiperspirants designed for sensitive skin in the groin area, or consult a healthcare provider for additional options.

5. Avoid Shaving or Waxing: If you shave or wax the area, be mindful that these practices can irritate the skin and lead to folliculitis. If you choose to continue, use proper techniques and tools to minimize irritation.

6. Consult a Dermatologist: If you experience recurrent folliculitis, a dermatologist can provide tailored advice and may recommend topical or oral antibiotics if necessary.

In conclusion, while your specific action of lifting the penis may not directly cause folliculitis, it can contribute to conditions that promote its development. By implementing preventive measures and maintaining good hygiene, you can significantly reduce the risk of recurrence. If you have further concerns or if symptoms persist, seeking professional medical advice is always a prudent course of action.

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