Sebaceous Cysts on the Scrotum: Treatment and Recovery - Dermatology

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I have developed a sebaceous cyst on my scrotum?


Doctor, I have a sebaceous cyst on the inner side of my right thigh near the scrotum.
Initially, I consulted a urologist who diagnosed it as folliculitis and prescribed antibiotics for inflammation.
After taking the medication for two days, the inflammation increased in size, so I returned to the hospital and saw a dermatologist who confirmed it was a sebaceous cyst.
The dermatologist also drained it and prescribed an ointment.
I would like to know if I can use antiseptic to clean the area before applying the ointment, or if I should apply the ointment directly.
Additionally, will there be discomfort after surgery for the sebaceous cyst on the scrotum, and will the scar be large?

A-Yun, 20~29 year old female. Ask Date: 2024/05/04

Dr. Wu Yuxin reply Dermatology


Treatment for a sebaceous cyst is only necessary if it becomes inflamed.
The treatment approach will depend on the assessment of the lesion.
Surgery is not always required, as the scrotum is a very sensitive area, and there will likely be some discomfort for a few days post-surgery.

Reply Date: 2024/05/04

More Info


Sebaceous cysts, also known as epidermoid cysts, are common benign growths that can occur in various parts of the body, including the scrotum. These cysts are typically filled with keratin and can develop when hair follicles become clogged. In your case, it seems that you have experienced a sebaceous cyst on the scrotum, which has led to inflammation and discomfort.


Diagnosis and Initial Treatment
Initially, you consulted a urologist who diagnosed the condition as folliculitis and prescribed antibiotics. However, it appears that the inflammation worsened, prompting you to seek a second opinion from a dermatologist who diagnosed it as a sebaceous cyst. The dermatologist also performed drainage of the cyst and prescribed topical medication.


Treatment Options
1. Conservative Management: In cases where the cyst is not infected or causing significant discomfort, conservative management may be appropriate. This includes warm compresses to reduce inflammation and over-the-counter pain relief. Topical antiseptics can be used to keep the area clean, but it is essential to follow your dermatologist's advice regarding the use of any topical medications.

2. Surgical Intervention: If the cyst becomes recurrent, painful, or infected, surgical removal is often recommended. The procedure typically involves excising the cyst along with its sac to prevent recurrence. This is usually done under local anesthesia, and the recovery period can vary depending on the individual and the extent of the procedure.


Post-Surgical Care and Recovery
After surgery, it is common to experience some discomfort, swelling, and bruising in the area. Pain management can be achieved with prescribed analgesics. The size of the scar will depend on several factors, including the size of the cyst, the surgical technique used, and your body's healing response. Generally, scars from cyst removal can fade over time and may become less noticeable.


Scarring and Follow-Up
Regarding your concerns about scarring, most surgical scars will initially appear red or raised but will typically flatten and fade over time. Proper wound care, including keeping the area clean and moisturized, can help minimize scarring. It is advisable to follow up with your dermatologist or surgeon to monitor the healing process and address any concerns.


Conclusion
In summary, sebaceous cysts on the scrotum can be effectively managed through conservative measures or surgical intervention, depending on the severity of symptoms. It is crucial to maintain good hygiene and follow your healthcare provider's instructions regarding wound care and medication. If you experience any worsening symptoms or have concerns about the healing process, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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