Small White Bumps on the Scrotum: Causes and Treatments - Urology

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The presence of small white bumps on the scrotum can be concerning, especially when they persist for an extended period. Based on your description, these bumps are small, hard, and painless, which can suggest a few potential causes.

One common cause of small white bumps on the scrotum is sebaceous cysts. These cysts are benign and occur when sebaceous glands become blocked, leading to the accumulation of sebum. They are typically painless and can vary in size. Sebaceous cysts are quite common and usually do not require treatment unless they become infected or bothersome.

Another possibility is pearly penile papules, which are small, white, dome-shaped bumps that can appear around the corona of the glans penis and sometimes on the scrotum. These are normal anatomical variations and are not a cause for concern. They are harmless and do not require treatment.

Additionally, folliculitis or ingrown hairs can also present as small bumps, particularly if there has been any recent shaving or hair removal in the area. These bumps can sometimes become inflamed or infected, leading to discomfort or pain, but you mentioned that your bumps are not painful or itchy.

In some cases, small white bumps could also be a sign of a sexually transmitted infection (STI), such as human papillomavirus (HPV), which can cause genital warts. However, these typically present differently, often with a more irregular surface and can be associated with other symptoms.

Given that these bumps have been present for two to three years without any changes in size, color, or sensation, it is less likely that they are indicative of a serious condition. However, it is always best to consult with a healthcare professional for an accurate diagnosis. A dermatologist or urologist can perform a physical examination and may recommend a biopsy if there is any uncertainty regarding the nature of the bumps.

As for treatment, if the bumps are indeed sebaceous cysts or pearly penile papules, no treatment is necessary unless they become bothersome. If they are causing discomfort or if there is a concern about infection, a healthcare provider may recommend options such as drainage or surgical removal.

In conclusion, while the small white bumps on your scrotum are likely benign, it is essential to have them evaluated by a medical professional for peace of mind and to rule out any potential issues. If you are unable to visit a doctor in person, many healthcare providers offer telemedicine services where you can send photos and receive advice remotely. Remember, self-diagnosis can often lead to unnecessary worry, so seeking professional guidance is always the best course of action.