Scrotal Bumps: Causes and Symptoms Explained - Urology

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Scrotal lump


Hello, doctor.
There is a lump on the skin of the right side of the scrotum.
What could this symptom be? Thank you.

Nìmíng nán, 30~39 year old female. Ask Date: 2016/03/03

Dr. Li Xinyi reply Urology


It sounds like there might not be an issue.
However, it is still recommended to see a urologist for an examination to be sure.

Reply Date: 2016/03/03

More Info


Understanding scrotal bumps can be a source of concern for many individuals. Scrotal bumps can arise from various causes, and understanding these can help in determining the appropriate course of action.
First and foremost, it’s essential to recognize that bumps on the scrotum can be benign or indicative of an underlying medical condition. Some common causes of scrotal bumps include:
1. Sebaceous Cysts: These are small, painless lumps that can occur due to blocked sebaceous glands. They are usually harmless and may not require treatment unless they become infected or bothersome.

2. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection or irritation. It can lead to small red bumps or pustules on the scrotum.

3. Pearly Penile Papules: These are small, harmless bumps that typically appear around the corona of the glans penis but can sometimes be seen on the scrotum. They are a normal anatomical variant and do not require treatment.

4. Warts: Genital warts, caused by the human papillomavirus (HPV), can appear as small, flesh-colored or gray bumps. They may be itchy or uncomfortable and require medical evaluation.

5. Varicocele: This is an enlargement of the veins within the scrotum, which can sometimes be felt as a lump. It is often described as feeling like a "bag of worms" and may require treatment if symptomatic.

6. Hydrocele: This is a fluid-filled sac surrounding a testicle that can cause swelling in the scrotum. It is usually painless but may require surgical intervention if it becomes large or uncomfortable.

7. Testicular Tumors: While less common, lumps in the scrotum can sometimes indicate testicular cancer. These lumps are usually painless and may be accompanied by other symptoms such as swelling or changes in the testicle.

8. Inguinal Hernia: This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can cause a bulge in the groin or scrotum and may require surgical repair.

Given your description of a bump on the right side of your scrotum, it is crucial to consider the characteristics of the bump. Is it painful or tender? Has it changed in size or appearance? Are there any associated symptoms such as itching, discharge, or changes in urination?
If the bump is new, persistent, or accompanied by other concerning symptoms, it is advisable to seek medical evaluation. A healthcare provider can perform a physical examination and may recommend further tests, such as an ultrasound, to determine the nature of the bump.

In conclusion, while many scrotal bumps are benign and do not require treatment, it is essential to monitor any changes and consult a healthcare professional if there are concerns. Early evaluation can help rule out serious conditions and provide peace of mind. Remember, it’s always better to be cautious and seek medical advice when it comes to changes in your body.

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