Subcutaneous Bumps on the Scrotum: Causes and Treatment

There are small, lump-like formations appearing on the scrotum?

I have noticed small, lump-like formations on my scrotum that have persisted for some time.
Initially, I thought it was a sexually transmitted infection.
Recently, I visited the Ximen STD Prevention Center, where the doctor informed me that these lump-like formations were not serious and prescribed medication for me to take at home.
However, it didn't seem to have much effect.
I later discovered that they secrete a white substance with an unpleasant odor.
I squeezed them and was able to extract the contents, which made the lumps appear smaller.
I didn't pay much attention to them afterward, but a few days ago, I had a severe cold, and upon waking up, I noticed swelling in the same area of my scrotum, accompanied by pain.
Could you please advise me on which specialty I should consult or how to manage the pain?

Mr. Huang, 20~29 year old female. Ask Date: 2008/04/23

Dr. Yan Dawei reply Urology

The appearance of subcutaneous nodules on the scrotum is generally more common with superficial skin infections.
It is recommended to seek consultation at a clinic to prevent the infection from spreading.

Reply Date: 2008/04/23

More Info

Understanding subcutaneous bumps on the scrotum can be concerning, especially when accompanied by symptoms like pain and discharge. Based on your description, it seems you may be dealing with a condition that could involve sebaceous cysts, folliculitis, or possibly an infection. Here’s a detailed overview of potential causes, treatment options, and when to seek medical advice.

Causes of Subcutaneous Bumps on the Scrotum
1. Sebaceous Cysts: These are common and usually harmless lumps that can occur when sebaceous glands become blocked. They can appear as small, round bumps under the skin and may sometimes discharge a white, foul-smelling substance if they rupture.

2. Folliculitis: This is an inflammation of the hair follicles, which can lead to red, swollen bumps that may be painful. It can be caused by bacterial infections, irritation, or ingrown hairs.

3. Infections: Bacterial or fungal infections can lead to painful swelling and discharge. If the bump is red, swollen, and painful, it may indicate an infection that requires treatment.

4. Other Conditions: Conditions such as genital warts (caused by HPV), molluscum contagiosum, or even more serious issues like testicular torsion or hernias could present with similar symptoms.

Treatment Options
1. Home Care: If the bump is a sebaceous cyst and is not infected, it may not require treatment. However, if it becomes painful or infected, warm compresses can help reduce discomfort and promote drainage.

2. Medications: If an infection is suspected, a healthcare provider may prescribe antibiotics. For folliculitis, topical antiseptics or antibiotics may be recommended.

3. Surgical Removal: If the cysts are recurrent or bothersome, a healthcare provider may suggest surgical removal. This is typically a minor procedure performed under local anesthesia.

4. Avoid Squeezing: While it may be tempting to squeeze the bump, this can lead to further irritation or infection. It’s best to avoid this unless advised by a healthcare professional.

When to Seek Medical Attention
Given that you are experiencing pain and swelling, it is advisable to see a healthcare provider. You should consider visiting a urologist, as they specialize in male reproductive health and can provide a thorough examination. Here are some specific signs that warrant immediate medical attention:
- Increased Pain: If the pain worsens or becomes severe.

- Fever: If you develop a fever, it could indicate a systemic infection.

- Persistent Discharge: If there is a significant amount of discharge, especially if it is foul-smelling.

- Changes in Size: If the bump increases in size rapidly or changes in appearance.

Conclusion
In summary, while subcutaneous bumps on the scrotum can often be benign, the presence of pain, swelling, and discharge suggests that you should seek medical evaluation. A urologist will be able to provide a proper diagnosis and treatment plan tailored to your specific condition. It’s essential to address these symptoms promptly to prevent complications and ensure your overall health.

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