a Pimple-Like Bump on the Scrotum: Causes and Concerns - Urology

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There is a bump on the upper part of the left scrotum that looks like a pimple?


Hello, Dr.
Hsu: I have a bump on the upper part of my left scrotum that looks like a pimple, approximately 0.5 to 1 centimeter in size.
It resembles a whitehead that is about to burst and has been present for almost a year.
It is not painful, does not ooze, and cannot be squeezed.
Could you please tell me what this might be? I'm really worried! Thank you for your response.

ting, 20~29 year old female. Ask Date: 2005/11/18

Dr. Xu Weikai reply Urology


Hello, I think it should be something similar to a cyst.
Usually, there are no symptoms.
If it is bothersome, you can visit a physician who can make a small incision with a scalpel to drain the fluid inside.
If you don't mind it, then there's no need to worry.
I forgot to mention that it is benign.
This is a response from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2005/11/18

More Info


Understanding a pimple-like bump on the scrotum can be concerning, especially when it has persisted for an extended period, such as a year. Based on your description, it sounds like you may be dealing with a sebaceous cyst or a similar benign condition.
Sebaceous cysts are common and occur when the sebaceous glands, which produce oil to lubricate the skin, become blocked. This blockage can lead to the formation of a small, round bump filled with a thick, yellowish substance. These cysts are typically painless and can vary in size, often resembling a pimple. They are generally harmless and do not require treatment unless they become infected or cause discomfort.

Another possibility is a condition known as a pearly penile papule, which are small, benign bumps that can appear on the scrotum or the shaft of the penis. They are normal anatomical variations and do not require treatment.
However, it is essential to consider other potential causes, such as folliculitis (inflammation of hair follicles), genital warts (caused by human papillomavirus), or even a benign tumor. While these conditions can also present as bumps, they may have different characteristics and implications for treatment.

Given that the bump has been present for a year and has not changed in size or caused pain, it is likely benign. However, it is crucial to have it evaluated by a healthcare professional, preferably a dermatologist or urologist, who can perform a physical examination and, if necessary, recommend further diagnostic tests, such as a biopsy, to rule out any serious conditions.

In terms of treatment, if the bump is indeed a sebaceous cyst and is asymptomatic, it may not require any intervention. However, if it becomes infected, painful, or bothersome, a healthcare provider may recommend drainage or surgical removal.
It is understandable to feel anxious about any unusual growth on your body, especially in sensitive areas. Seeking medical advice can provide peace of mind and ensure that any necessary treatment is administered. Remember, early evaluation is key in addressing any concerns regarding skin changes or growths.

In summary, while the bump you described is likely benign, it is essential to consult with a healthcare professional for an accurate diagnosis and appropriate management. Regular self-examinations and awareness of any changes in your body are important for maintaining overall health.

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