White Bumps on the Scrotum: Causes and When to Seek Help

White bumps on the scrotum?

Hello Doctor: I have had a yellowish-white bump on my scrotum for about six years, measuring approximately 0.5 centimeters in diameter.
However, since it has not caused any discomfort, pain, or itching, I have not taken any special action regarding it.
Nevertheless, I still feel a bit uneasy whenever I see it.
Given this, I would like to ask the doctor what might be the cause of this bump and whether it is necessary to consult in the clinic.
Thank you very much.

Niming, 20~29 year old female. Ask Date: 2015/06/25

Dr. Xu Weikai reply Urology

Hello, you may be dealing with sebaceous adenoma, lipoma, or folliculitis.
It is still important to seek medical attention in person.
If there are any unclear aspects, feel free to ask again so we can discuss and research further.
Online responses should only be considered as references; if necessary, you should visit a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/06/25

More Info

Understanding white bumps on the scrotum can be a source of concern for many individuals, especially when they appear without any accompanying symptoms such as pain or itching. The bump you describe, which has been present for six years and measures approximately 0.5 cm in diameter, may be benign in nature, but it is essential to understand the potential causes and when to seek medical advice.

One common cause of white or yellowish bumps on the scrotum is sebaceous cysts. These cysts are formed when sebaceous glands become blocked, leading to the accumulation of sebum, a natural oil produced by the skin. Sebaceous cysts are typically painless and can vary in size. They are generally harmless and do not require treatment unless they become infected or bothersome.

Another possibility is pearly penile papules, which are small, benign growths that can appear around the corona of the glans penis and may extend to the scrotum. These are normal anatomical variations and are not associated with any disease or health risk.

Folliculitis, an inflammation of the hair follicles, can also lead to the formation of small bumps on the scrotum. This condition may be caused by bacterial infections, irritation from shaving, or friction from clothing. Folliculitis may present with redness and discomfort, but if the bumps are painless, it is less likely to be the cause.

In some cases, sexually transmitted infections (STIs) can manifest as bumps or lesions on the genital area. Conditions such as genital warts, caused by the human papillomavirus (HPV), can appear as small, flesh-colored or white bumps. If there is any concern regarding potential STIs, it is crucial to seek medical evaluation.

While your bump has been stable and asymptomatic for several years, it is always prudent to consult a healthcare professional if you notice any changes in size, color, or texture, or if new symptoms develop. A healthcare provider can perform a physical examination and may recommend further testing, such as a biopsy, if there is any suspicion of a more serious condition.

In summary, while the bump on your scrotum may be benign, it is essential to remain vigilant about any changes. Regular self-examinations and awareness of your body can help you identify any concerning developments early on. If you have any doubts or if the bump begins to cause discomfort, seeking medical advice is always a wise decision. A healthcare professional can provide reassurance, a proper diagnosis, and, if necessary, treatment options tailored to your specific situation.

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