Scrotal Pain and Itching: Common Urological Issues

Itching in the groin and scrotal issues?

Hello doctor, recently after ejaculation, I've been experiencing a dull pain in my scrotum.
I've also noticed a scaly, itchy substance on the left side of my penis and the left groin area, along with a small black spot on the glans.

Li, 10~19 year old female. Ask Date: 2021/11/23

Dr. Lin Wenxu reply Urology

Please visit the hospital in person for a consultation with a physician to receive a more accurate diagnosis.
Dr.
Lin Wen-Hsu from the Urology Department at Nantou Hospital.

Reply Date: 2021/11/23

More Info

Scrotal pain and itching can be concerning symptoms, and it's important to understand the potential underlying causes and appropriate next steps for evaluation and treatment. Based on your description, there are several possibilities to consider.

Firstly, the pain in the scrotum after ejaculation could be related to a condition known as epididymitis, which is inflammation of the epididymis, the tube that carries sperm from the testicle. This condition can cause pain and swelling in the scrotum and may be associated with sexual activity or infections. Another possibility is orchitis, which is inflammation of the testicle itself, often due to viral or bacterial infections. Both conditions can lead to discomfort and may require medical evaluation.

The presence of a "fungus-like" substance on the left side of the penis and groin area, along with itching, raises the suspicion of a fungal infection, such as tinea cruris (jock itch) or candidiasis. These infections are common in warm, moist areas of the body and can cause itching, redness, and discomfort. The small black spot on the glans (head of the penis) could be a variety of things, including a benign condition like a pearly penile papule, a sebaceous cyst, or even a sign of a more serious condition, such as a sexually transmitted infection (STI) or a dermatological issue.

Given these symptoms, here are some recommendations for your next steps:
1. Consult a Urologist: Since your symptoms involve the genital area, it would be best to see a urologist. They specialize in male reproductive health and can provide a thorough examination and appropriate diagnostic tests.

2. Diagnostic Tests: The urologist may recommend tests such as a urine analysis, swabs of the affected areas, or imaging studies (like an ultrasound) to assess for any underlying conditions such as infections or structural abnormalities.

3. Treatment Options: If an infection is diagnosed, treatment may include antibiotics for bacterial infections or antifungal medications for fungal infections. If the pain is due to epididymitis or orchitis, anti-inflammatory medications may be prescribed to reduce pain and swelling.

4. Avoid Irritants: In the meantime, avoid any potential irritants such as harsh soaps, lotions, or tight clothing that may exacerbate your symptoms. Keeping the area clean and dry can also help alleviate discomfort.

5. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, swelling, or the appearance of new lesions. This information will be helpful for your healthcare provider.

6. Sexual Health: If you are sexually active, consider discussing your symptoms with your partner and practicing safe sex to prevent the potential spread of infections.

In conclusion, while scrotal pain and itching can arise from various causes, it is essential to seek medical attention for a proper diagnosis and treatment plan. Early intervention can help prevent complications and improve your quality of life.

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