Scrotal Polyps: Causes, Symptoms, and Treatment - Urology

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Small polyps on the scrotum?


Hello, this week I suddenly noticed a very small bump on my scrotum that looks like a pimple or comedo.
I visited a dermatologist in the morning, and when I asked him twice, he said not to worry, it's just a small polyp.
Can polyps occur on the scrotum? I haven't heard of that before.
Also, I thought it was a pimple or comedo, so I slightly pulled at it, and I ended up removing a small piece of skin tissue.
Now it feels a bit painful when I touch it.
Is there any concern regarding this?

1234, 20~29 year old female. Ask Date: 2020/10/23

Dr. Cai Zhuorong reply Urology


If symptoms worsen, it is recommended to seek medical attention for treatment.

Reply Date: 2020/10/23

More Info


Scrotal polyps, while not commonly discussed, can indeed occur and are generally benign growths that may appear on the scrotum. Understanding their causes, symptoms, and treatment options is essential for anyone who encounters such a condition.


Causes of Scrotal Polyps
Scrotal polyps are typically caused by a variety of factors, including:
1. Chronic Inflammation: Conditions that lead to chronic irritation or inflammation of the skin can result in the formation of polyps. This could be due to infections, dermatitis, or other skin conditions.

2. Genetic Factors: Some individuals may have a genetic predisposition to developing skin growths, including polyps.

3. Hormonal Changes: Hormonal fluctuations can also contribute to the development of skin lesions, including polyps.

4. Trauma: Previous injuries to the area may lead to abnormal growths as the skin heals.


Symptoms of Scrotal Polyps
Scrotal polyps often present as small, raised lesions on the scrotum, which may resemble pimples or cysts. They are usually painless and may vary in size. Other symptoms can include:
- Discomfort or Pain: If the polyp is irritated or if there has been trauma to the area, it may become tender or painful, as you have experienced after attempting to remove it.

- Changes in Color or Texture: The polyp may appear red, inflamed, or have a different texture compared to the surrounding skin.

- Bleeding or Discharge: In some cases, if the polyp is traumatized, it may bleed or ooze.


Treatment Options
In most cases, scrotal polyps do not require treatment unless they cause discomfort or concern. Here are some common approaches:
1. Observation: If the polyp is asymptomatic and not causing any issues, a "watch and wait" approach may be recommended.

2. Surgical Removal: If the polyp is bothersome, painful, or shows signs of infection, a healthcare provider may recommend surgical excision. This is typically a straightforward outpatient procedure.

3. Management of Underlying Conditions: If the polyps are associated with an underlying skin condition, treating that condition may help reduce the likelihood of further growths.


Your Situation
In your case, since you have noticed a small lesion on your scrotum that resembles a polyp and have experienced some discomfort after attempting to remove it, it is advisable to monitor the area closely. If the pain persists, increases, or if you notice any signs of infection (such as increased redness, swelling, or discharge), you should consult your healthcare provider for further evaluation.

It’s important to avoid self-removal or manipulation of any skin lesions, as this can lead to complications such as infection or scarring. If you have any concerns about the appearance or symptoms of the polyp, a follow-up visit with a dermatologist or urologist may provide peace of mind and appropriate management.


Conclusion
While scrotal polyps are generally benign, understanding their nature, causes, and treatment options is crucial for managing your health. Always consult with a healthcare professional for personalized advice and treatment tailored to your specific situation. Your health and comfort are paramount, and addressing any concerns promptly can help ensure a positive outcome.

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