Scrotal Polyps: Symptoms, Causes, and Specialist Consultation

Scrotal polyp

Recently, I have developed 4-5 small growths on the surface of my scrotum, one of which is painful to the touch.
I am unsure what this condition might be.
Which specialty should I consult?

Xiao Wang, 30~39 year old female. Ask Date: 2004/12/17

Dr. Cai Bingkun reply Urology

Hello! For issues related to the skin of the scrotum, you can visit a nearby urology or dermatology clinic.
Skin problems can only be properly addressed through a visual examination.
Thank you!

Reply Date: 2004/12/17

More Info

Scrotal polyps, also known as scrotal lesions or growths, can be concerning for many individuals. These growths can vary in size, shape, and texture, and they may present with different symptoms. In your case, you mentioned that you have developed 4-5 small polyps on the surface of the scrotum, with one being painful upon touch. This situation warrants a careful evaluation to determine the underlying cause and appropriate treatment.

Symptoms of Scrotal Polyps
Scrotal polyps may present with various symptoms, including:
1. Visible Growths: Small, fleshy growths on the scrotum that may vary in size.

2. Pain or Discomfort: Some polyps may be tender or painful, especially if they are irritated or inflamed.

3. Itching or Irritation: The area around the polyps may feel itchy or irritated.

4. Changes in Color: The color of the polyps may differ from the surrounding skin, appearing red, brown, or flesh-colored.

5. Bleeding or Discharge: In some cases, there may be minor bleeding or discharge from the growths.

Causes of Scrotal Polyps
The exact cause of scrotal polyps can vary, and they may arise from several factors, including:
1. Benign Growths: Many scrotal polyps are benign, such as seborrheic keratosis or skin tags.

2. Inflammation: Chronic inflammation or irritation of the skin can lead to the formation of polyps.

3. Infections: Certain infections, including sexually transmitted infections (STIs), can cause growths on the scrotum.

4. Dermatological Conditions: Conditions like eczema or psoriasis may also lead to the development of scrotal lesions.

When to Seek Medical Attention
Given that one of the polyps is painful, it is advisable to seek medical attention promptly. Pain can indicate inflammation, infection, or other underlying issues that may require treatment. It is essential to consult a healthcare professional who specializes in this area.

Which Specialist to Consult
For evaluation of scrotal polyps, you should consider consulting a urologist. Urologists specialize in conditions related to the urinary tract and male reproductive system, including issues affecting the scrotum and testes. They can perform a thorough examination, possibly including imaging studies or a biopsy if necessary, to determine the nature of the polyps and recommend appropriate treatment.

Diagnostic Approach
During your consultation, the urologist may:
1. Conduct a Physical Examination: Assess the size, texture, and tenderness of the polyps.

2. Take a Medical History: Discuss any associated symptoms, duration of the growths, and any relevant medical history.

3. Order Tests: Depending on the findings, they may recommend tests such as an ultrasound to evaluate the scrotal area further.

4. Discuss Treatment Options: If the polyps are benign, treatment may not be necessary. However, if they are causing discomfort or have a concerning appearance, removal may be recommended.

Conclusion
In summary, the presence of multiple scrotal polyps, especially with pain, should be evaluated by a urologist. Early consultation can help rule out any serious conditions and provide peace of mind. Remember, while many scrotal polyps are benign, it is always best to have them assessed by a medical professional to ensure proper diagnosis and management.

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