Scrotal Lesions: Causes, Symptoms, and Treatment Options - Urology

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Understanding scrotal lesions is crucial for identifying potential underlying conditions and determining appropriate treatment options. The symptoms you describe—a red, raised bump near the penis that is itchy and slightly painful—can be indicative of several conditions. Here, I will outline some common causes, symptoms, and treatment options for scrotal lesions.


Common Causes of Scrotal Lesions
1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial infection. It can present as small red bumps that may be itchy or painful.

2. Sebaceous Cysts: These are non-cancerous lumps that can form under the skin. They are usually painless but can become inflamed or infected, leading to discomfort.

3. Genital Warts: Caused by the human papillomavirus (HPV), these warts can appear as small, flesh-colored or red bumps. They may be itchy and can cause discomfort.

4. Herpes Simplex Virus (HSV): This viral infection can cause painful blisters or sores in the genital area. The initial outbreak may be accompanied by flu-like symptoms.

5. Fungal Infections: Conditions like jock itch (tinea cruris) can cause red, itchy rashes in the groin area, including the scrotum.

6. Contact Dermatitis: This is an allergic reaction to substances that come into contact with the skin, such as soaps, lotions, or laundry detergents. It can cause redness, itching, and irritation.

7. Scrotal Eczema or Psoriasis: These chronic skin conditions can lead to red, itchy patches on the scrotum.


Symptoms to Monitor
- Itching: Persistent itching can indicate an infection or allergic reaction.

- Pain: If the bump is painful, it may suggest an infection or inflammation.

- Discharge: Any unusual discharge from the bump or surrounding area should be noted.

- Changes in Size or Color: If the lesion grows or changes color, it may require further evaluation.


Treatment Options
1. Topical Treatments: Depending on the cause, topical antifungal creams, antibacterial ointments, or corticosteroids may be prescribed to reduce inflammation and treat infections.

2. Oral Medications: If a bacterial infection is suspected, oral antibiotics may be necessary. Antiviral medications may be prescribed for herpes.

3. Surgical Removal: If the lesion is a cyst or a wart, surgical removal may be recommended, especially if it is causing discomfort or concern.

4. Avoid Irritants: If contact dermatitis is suspected, identifying and avoiding the irritant is crucial. Switching to hypoallergenic products may help.

5. Good Hygiene: Keeping the area clean and dry can prevent further irritation and infection.


When to Seek Medical Attention
It is essential to consult a healthcare provider if you experience any of the following:
- The lesion does not improve with home care.

- There is significant pain or swelling.

- You notice any unusual discharge.

- You have fever or systemic symptoms.

In conclusion, while the symptoms you describe can be associated with various conditions, a thorough evaluation by a healthcare professional is necessary for an accurate diagnosis and appropriate treatment. It is important not to self-diagnose or delay seeking medical advice, as some conditions may require prompt intervention.