Scrotal Bleeding: Causes, Symptoms, and When to Seek Help - Urology

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Scrotal bleeding can be a concerning symptom, and understanding its potential causes, symptoms, and when to seek medical help is crucial for proper management. Based on your description, it appears that you experienced a sudden onset of bleeding from the left side of your scrotum, which stopped after lying down. The blood was bright red, and you noted some minor swelling but no significant pain or visible trauma.

Causes of Scrotal Bleeding
1. Trauma: Even minor trauma can lead to bleeding in the scrotal area. This could be from an accidental bump or a more significant injury that may not have been immediately apparent.

2. Infection: Conditions such as epididymitis or orchitis can cause swelling and bleeding due to inflammation and infection of the epididymis or testicles.

3. Varicocele or Hydrocele: These conditions involve abnormal blood vessels or fluid accumulation around the testicle, which can sometimes lead to bleeding.

4. Tumors or Cysts: Benign or malignant growths in the scrotal area can cause bleeding, especially if they rupture.

5. Skin Conditions: Conditions such as folliculitis or other dermatological issues can lead to bleeding from hair follicles or skin lesions.


Symptoms to Monitor
- Pain: While you mentioned minimal pain, any increase in pain or discomfort should be noted.

- Swelling: The slight swelling you described could indicate inflammation or a more serious issue.

- Changes in Color: The appearance of black spots or changes in the color of the skin can indicate various conditions, including bruising or the presence of cysts.

- Persistent Bleeding: If bleeding resumes or does not stop, it is essential to seek medical attention.


When to Seek Help
You should seek medical attention if:
- The bleeding resumes or does not stop after a short period.

- You experience significant pain or discomfort.

- There are signs of infection, such as fever, redness, or warmth in the area.

- You notice any unusual lumps, bumps, or changes in the scrotal area.

- The black spots you mentioned change in size, shape, or color.


Conclusion
Given your situation, it is advisable to consult a healthcare professional for a thorough examination. They may perform a physical examination and possibly imaging studies to assess the underlying cause of the bleeding and any associated conditions. The presence of black spots on the scrotum could be benign, such as seborrheic keratosis or other skin lesions, but a healthcare provider can give you a definitive diagnosis.

In summary, while your symptoms may not indicate a severe condition, it is always better to err on the side of caution, especially with any bleeding. A medical professional can provide the necessary evaluation and peace of mind.