Scrotal Skin Tags: Are They Normal or a Cause for Concern? - Urology

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Midline scrotal skin tag issue?


Hello Doctor, last month I noticed occasional itching in my scrotum, and after scratching, I discovered this condition.
There are several regular, strip-like (plaque-like) skin tags along the midline of the scrotum, which feel soft to the touch and can sway up and down with slight manipulation.
They are distributed regularly along the midline of the scrotum (testicles), approximately one centimeter apart.
They are only visible when the skin of the scrotum is pulled taut; otherwise, they appear as folds within the midline.
Is this normal tissue, or are these lesions such as warts that require immediate attention? Please refer to the red circled area in the provided images.
Thank you, Doctor.

Orange, 30~39 year old female. Ask Date: 2020/12/05

Dr. Cai Zhuorong reply Urology


If there are concerns, a biopsy may be considered.

Reply Date: 2020/12/05

More Info


Scrotal skin tags, also known as acrochordons, are benign growths that can appear on various parts of the body, including the scrotum. They are typically soft, flesh-colored, and can vary in size. While they are generally harmless, their presence can sometimes cause concern, especially if they are associated with symptoms like itching or discomfort.

In your case, the description of soft, movable skin tags located along the midline of the scrotum is consistent with typical skin tags. These growths are often caused by friction, genetics, or hormonal changes, and they are more common in areas where skin rubs against skin or clothing. The fact that they are soft and can be moved easily suggests that they are not warts or other more serious skin lesions, which tend to be firmer and more fixed to the underlying tissue.

While skin tags are usually harmless, there are a few considerations to keep in mind:
1. Symptoms: If the skin tags are causing significant itching, irritation, or discomfort, it may be worth consulting a healthcare provider. They can assess whether the tags need to be removed or if there is an underlying condition that needs to be addressed.

2. Diagnosis: It is important to differentiate between skin tags and other skin conditions, such as warts, molluscum contagiosum, or even more serious conditions like skin cancer. A healthcare professional can perform a physical examination and, if necessary, a biopsy to ensure an accurate diagnosis.

3. Treatment Options: If the skin tags are bothersome, there are several treatment options available. These include cryotherapy (freezing the tags), electrosurgery (burning them off), or surgical excision. These procedures are typically quick and can be performed in a doctor's office.

4. Prevention: While there is no guaranteed way to prevent skin tags, maintaining a healthy weight, reducing friction in areas prone to skin tags, and practicing good skin hygiene can help minimize their occurrence.

5. When to Seek Help: If you notice any changes in the appearance of the skin tags, such as rapid growth, changes in color, or bleeding, it is crucial to seek medical attention promptly. These changes could indicate a more serious condition that requires further evaluation.

In conclusion, scrotal skin tags are generally considered normal and are not usually a cause for concern. However, if you experience any discomfort or changes in the appearance of these growths, it is advisable to consult a healthcare provider for a thorough evaluation and appropriate management. Regular self-examinations and awareness of any changes in your skin can help you maintain your health and well-being.

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