Scrotal Bumps: When to See a Urologist or Dermatologist

Dear Dr. Hsu,

Hello, I previously inquired about small cyst-like bumps on my scrotum.
I have noticed that even with regular cleaning, these small balls have not improved.
They are evenly distributed across the scrotum, with many small ones around 0.5 mm in size, as well as larger ones measuring about 1.5 to 2 mm.
Over time, I now have 2 to 3 of these larger ones.
Additionally, there are two that overlap.
Overall, they are quite widespread.
It is quite bothersome, especially since I tend to sweat easily from my lower body down to my thighs and knees while at school.
I try to keep the area ventilated, but I cannot control my sweat glands.
Recently (perhaps last year? I can't remember), I had to go to the hospital due to inflammation, and the doctor lanced and drained it, which was very painful.
Should I see a dermatologist? I'm hesitant about seeing someone for an examination of my genital area.
I found online that surgery is the only way to completely resolve this, but I can't imagine finding a doctor who would treat me without seeing other patients.
Anyway, this situation is quite distressing.

Xiao Mi, 10~19 year old female. Ask Date: 2010/07/25

Dr. Xu Weikai reply Urology

Hello, your condition appears to be more serious and may exceed what can be addressed online.
You might consider consulting a dermatologist.
Nowadays, dermatologists have access to specialized lasers and medications that can effectively treat similar lesions.
If there are any unclear aspects, feel free to ask again, and we can discuss and research further.
This message is from Dr.
Hsu Wei-kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2010/07/25

More Info

When it comes to scrotal bumps, understanding the nature of these bumps is crucial for determining the appropriate course of action. Based on your description, it seems you are experiencing multiple small bumps on your scrotum, which could potentially be sebaceous cysts or other benign skin lesions. It is important to note that while these bumps may not cause significant discomfort or pain, they can be a source of concern and anxiety.

Sebaceous cysts, also known as epidermoid cysts, are common and typically harmless. They often appear as small, round lumps beneath the skin and can vary in size. These cysts are filled with a substance called keratin, which is a protein found in skin cells. They can become inflamed or infected, leading to pain and discomfort, which may require medical intervention, such as drainage or excision.

In your case, since you have noticed an increase in the number of bumps and have experienced inflammation in the past, it would be advisable to consult a healthcare professional. A urologist or dermatologist can provide a thorough examination and determine the exact nature of the bumps. They are trained to handle skin conditions in sensitive areas, and you should feel comfortable discussing your concerns with them.
When you visit a dermatologist, they will likely perform a physical examination and may ask about your medical history, including any previous treatments or interventions you have undergone. If necessary, they may recommend a biopsy or imaging studies to rule out any serious conditions.
In terms of treatment, if the bumps are indeed sebaceous cysts and are not causing significant discomfort, your doctor may suggest a watch-and-wait approach. However, if they are inflamed or causing pain, surgical removal may be recommended. This procedure is typically straightforward and can be done in an outpatient setting.

It is also essential to maintain proper hygiene in the area to prevent irritation or infection. Regular cleaning with mild soap and water can help, but avoid excessive scrubbing, which may exacerbate the condition. Additionally, wearing breathable underwear and avoiding tight clothing can help reduce sweating and irritation in the area.

If you are concerned about the appearance of the bumps or if they change in size, color, or shape, it is crucial to seek medical advice promptly. Changes in skin lesions can sometimes indicate underlying issues that require further investigation.

In summary, while scrotal bumps are often benign, it is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. A urologist or dermatologist can provide the necessary care and address any concerns you may have regarding your condition. Do not hesitate to seek help; your health and peace of mind are paramount.

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