White Bumps on the Scrotum: Causes and Treatment Options - Urology

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There are small white bumps on the scrotum?


I have some white, pimple-like bumps on my scrotum.
Some of them can be squeezed, and when squeezed, they release a white substance that resembles a comedo.
I previously visited a dermatologist who diagnosed it as folliculitis and advised not to worry, stating that it is merely a cosmetic issue.
However, recently, a few of these bumps have grown quite large and cannot be squeezed (I have no sexual experience).
Could this still be folliculitis? If I want to have them removed, is surgery really necessary? Will they resolve on their own? Should I go to a hospital and see a dermatologist for surgical removal?

danxin, 20~29 year old female. Ask Date: 2006/07/19

Dr. Lin Hexing reply Urology


Hello, Mr.
Concerned: The skin condition on your scrotum is a sebaceous cyst.
It is only referred to as folliculitis if there is an infection, which can lead to abscesses or furuncles, causing pain and possibly discharge.
Surgical excision is required, and you can consult a dermatologist, urologist, or general surgeon.

Reply Date: 2006/07/19

More Info


When it comes to the appearance of white bumps on the scrotum, it is essential to understand the potential causes and treatment options available. Based on your description, these bumps may resemble acne or whiteheads, and while they can be concerning, they are often benign.
One common condition that can lead to the formation of white bumps on the scrotum is folliculitis, which is an inflammation of the hair follicles. This can occur due to various factors, including bacterial infections, friction from clothing, or even ingrown hairs. Folliculitis can present as small, red, or white bumps that may be itchy or tender. In some cases, these bumps can become larger and may contain pus, resembling pimples.

Another possibility is sebaceous cysts, which are non-cancerous lumps that can form under the skin. These cysts are filled with a substance called sebum, which is produced by sebaceous glands. They can appear as small, round, white or yellowish bumps and are generally harmless. If they become inflamed or infected, they may require treatment.

In your case, if the bumps have increased in size and are causing concern, it is advisable to seek a consultation with a dermatologist or urologist. They can perform a thorough examination and may recommend a biopsy or other diagnostic tests to rule out any serious conditions.
Regarding treatment options, if the bumps are diagnosed as folliculitis, they may resolve on their own with proper hygiene and care. Warm compresses can help soothe the area, and over-the-counter topical antibiotics may be recommended if there is an infection. If the condition is persistent or recurrent, a dermatologist may prescribe oral antibiotics or topical treatments.

For sebaceous cysts, if they are not causing discomfort or cosmetic concerns, they may not require any treatment. However, if they become painful, infected, or bothersome, surgical removal may be necessary. This procedure is typically straightforward and can be performed in an outpatient setting.

It is important to note that self-diagnosing or attempting to squeeze or pop these bumps can lead to further irritation or infection. Therefore, it is best to avoid manipulating the area and to seek professional medical advice.

In summary, while white bumps on the scrotum can be concerning, they are often benign and can be attributed to conditions like folliculitis or sebaceous cysts. Consulting with a healthcare professional is crucial for an accurate diagnosis and appropriate treatment plan. If surgical intervention is deemed necessary, your doctor will guide you through the process and discuss the potential risks and benefits. Always prioritize your health and well-being by seeking expert advice when faced with medical concerns.

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