Bladder and Testicular Issues: What Causes Pus and Growth?

Purulent discharge from the left side of the bladder?

There is a bump that resembles an acne lesion located between the left side of the bladder and the testicle.
Initially, it was ignored, but it has recently become larger and can be distinctly felt as a spherical mass.
Squeezing it causes bleeding and pus to discharge.
What could this issue be?

Zhe, 20~29 year old female. Ask Date: 2022/12/21

Dr. Li Xinyi reply Urology

It could just be a subcutaneous abscess.
However, if it is related to unsafe sexual practices, it could potentially be caused by a sexually transmitted infection (STI).
It is advisable to see a urologist for an examination and to discuss it with a physician.

Reply Date: 2022/12/21

More Info

The presence of pus and growths in the genital and bladder area can be concerning and warrants a thorough evaluation. Based on your description, it seems that you have developed a noticeable lump between your left bladder and testicle, which has increased in size and is discharging pus and blood upon pressure. This situation could potentially indicate several underlying conditions, and it is essential to understand the possible causes.

1. Sebaceous Cyst: One common cause of a lump that resembles an acne lesion is a sebaceous cyst. These cysts form when the sebaceous glands become blocked, leading to the accumulation of sebum. They are typically benign and can become inflamed or infected, resulting in pus formation and sometimes bleeding when squeezed.

2. Infection: The presence of pus suggests that there may be an infection. This could be a localized skin infection, such as folliculitis or an abscess, which occurs when bacteria invade the hair follicles or skin, leading to inflammation and pus accumulation. Infections in the genital area can also arise from sexually transmitted infections (STIs), which may present with similar symptoms.

3. Hydrocele or Spermatocele: A hydrocele is a fluid-filled sac surrounding a testicle, which can sometimes become infected or inflamed, leading to discomfort and swelling. A spermatocele, on the other hand, is a cyst that forms in the epididymis and can also cause swelling and discomfort.

4. Testicular Issues: Conditions such as epididymitis (inflammation of the epididymis) or orchitis (inflammation of the testicle) can lead to swelling and pain in the testicular area. These conditions are often associated with infections and can cause pus formation.

5. Tumors: While less common, it is essential to consider the possibility of a benign or malignant tumor in the testicular area. Testicular tumors can present as lumps and may cause discomfort or changes in the surrounding tissue.

6. Lymphadenopathy: Enlarged lymph nodes in the groin area can also present as lumps and may be associated with infections or other systemic conditions. If the lymph nodes are involved, it may indicate a more widespread infection or other underlying issues.

Given the symptoms you are experiencing, it is crucial to seek medical attention promptly. A healthcare provider will likely perform a physical examination and may recommend imaging studies, such as an ultrasound, to assess the nature of the lump and any associated structures. Laboratory tests, including cultures of any discharge, may also be necessary to identify the causative organism if an infection is suspected.

In conclusion, while there are several potential causes for the lump and pus you are experiencing, it is essential to have a healthcare professional evaluate your condition to determine the exact cause and appropriate treatment. Early intervention can help prevent complications and ensure that any underlying issues are addressed effectively.

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