Scrotal Black Spots: When to Seek Medical Advice

Q: Scrotal Black Spots: When to Seek Medical Advice

Mark： Hello, it should be a peripheral blood vessel, possibly something like a hemangioma. <br>You can apply slight pressure with your finger to see if it disappears and then reappears. <br>If it increases in size, it's best to seek medical attention as soon as possible. <br>You

Black spots on the scrotum

Hello, Dr.
Hsu: I previously noticed many small black spots on my scrotum (which were not raised), but recently these spots have enlarged into small round balls (about the size of a grain of rice) that appear to be filled with dark blood.
I'm not sure what this could be.
Should I seek medical attention? If so, should I see a dermatologist or a urologist? Thank you!

mark, 40~49 year old female. Ask Date: 2008/11/06

Dr. Xu Weikai reply Urology

Mark: Hello, it should be a peripheral blood vessel, possibly something like a hemangioma.
You can apply slight pressure with your finger to see if it disappears and then reappears.
If it increases in size, it's best to seek medical attention as soon as possible.
You can consult either a dermatologist or a urologist.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Concerned for You, Director Hsu Wei-Kai.

Reply Date: 2008/11/06

More Info

When it comes to the appearance of scrotal black spots, especially when they change in size or shape, it is important to approach the situation with caution and seek medical advice. The scrotum is a sensitive area, and any changes in its appearance can indicate underlying health issues that may require attention.

The small black spots you initially noticed could have been benign conditions such as hyperpigmentation, seborrheic keratosis, or even small blood vessels that have become more prominent. However, the recent change in these spots to larger, round, ball-like formations that appear to be filled with dark blood is concerning. This change in size and appearance could suggest a variety of conditions, ranging from benign to potentially serious.

One possibility is that these spots could be related to a condition known as a sebaceous cyst, which is a non-cancerous lump filled with a fatty substance. While these cysts are generally harmless, they can become infected or inflamed, leading to discomfort and changes in appearance. Another possibility is that these spots could be related to a vascular condition, such as a varicocele, which involves enlarged veins within the scrotum. Varicoceles can sometimes present as a mass or swelling and may require treatment if they cause pain or fertility issues.

More concerning possibilities include the development of skin lesions that could be indicative of dermatological conditions such as warts, molluscum contagiosum, or even skin cancer. While skin cancer is less common in the scrotal area, it is not impossible, especially if there are changes in color, size, or texture of the spots.

Given the changes you have described, it is advisable to seek medical attention. You should consider visiting a healthcare provider who specializes in dermatology or urology. A dermatologist can evaluate the skin lesions and determine if they are benign or require further investigation. On the other hand, a urologist can assess any potential underlying issues related to the reproductive system and provide appropriate treatment options.

In summary, while some scrotal black spots may be harmless, the recent changes you have observed warrant a professional evaluation. It is always better to err on the side of caution when it comes to changes in your body, especially in sensitive areas like the scrotum. Early diagnosis and treatment can help prevent complications and ensure your overall health and well-being.

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