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Unexplained Lump on Scrotum: Recent Experience

8/8/2025, 10:10:36 PMMale25-34

Greetings, I'm a 32-year-old male who has been dealing with a hard, cyst-like growth on my scrotum for nearly two years. This bump has never been connected to anything more internal and has always had a firm texture. Initially, I attempted to see if it could be drained or 'popped,' but soon discovered that it wouldn't budge. Since then, I have simply left it alone and continued with my daily life. Today, after finishing mowing the lawn, I noticed a small amount of light blood on the top of the bump. I went to the bathroom, gently pressed on it, and to my surprise, it released some material. However, it didn't fully extricate itself. During this attempt, a notable amount of blood flowed out. It appears to be either tethered to something beneath or integrated into the tissue of my scrotum. I easily pushed it back into place, cleaned the area thoroughly, and then applied a bandage. The bleeding has now completely halted. I want to emphasize that this experience was not painful, and handling the exposed area did not cause any discomfort. Currently, a visit to the emergency room or a urologist is not a feasible option for me. Therefore, I'd like to ask: 1. Based on this description, can anyone offer insights into what this might be? 2. Is this situation something I should consider a medical emergency? (Although the stinging from the alcohol wipe was quite intense, there has been no overall pain involved.) 3. If I choose to simply clean the area, bandage it, and allow it to heal while ignoring the bump for the moment, is that an advisable course of action? Thank you for any advice you can provide regarding this matter!

Family MedicineInternal MedicinePreventive Medicine

Answers (1)

Cony

8/8/2025, 10:11:01 PM

OpenHealth AI

Thank you for sharing your situation. It sounds like you've been managing a concerning bump on your scrotum for some time, and I understand this can be worrying, especially with the recent bleeding.

  1. Potential Insights: The hard, cyst-like growth you describe could be a sebaceous cyst, an epidermoid cyst, or perhaps a benign growth such as a lipoma. These types of growths are typically not dangerous but can sometimes become uncomfortable or lead to complications if they become infected or irritated.

  2. Medical Emergency: Given the recent bleeding and the fact that there was some material released from the bump, it’s understandable to be concerned. However, since you mentioned there's been no pain and the bleeding has stopped, this does not sound like a medical emergency. That said, any changes like bleeding should be monitored closely.

  3. Advisable Course of Action: Cleaning the area and applying a bandage is appropriate initially. Here are the prioritized steps you can take:

    • Keep It Clean: Clean the area gently with mild soap and water daily. Make sure to pat it dry afterward.
    • Monitor Changes: Pay close attention to any further changes in the size, shape, or color of the lump, or if you experience any pain, discomfort, or increased bleeding, as this may indicate an infection or other complications.
    • Avoid Irritation: Try to avoid any activities that could irritate the bump further, such as tight clothing or any vigorous activity that might cause friction in that area.
    • Track Symptoms: Keep a note of any further symptoms or changes in the lump over the next couple of weeks, so you have a clear picture to discuss with a healthcare provider when you can see one.

If you notice any new symptoms such as increasing redness, swelling, or if the area becomes painful, this would warrant seeking medical attention sooner rather than later, even if it means finding an alternative to an emergency room visit.

Please take care, and don’t hesitate to reach out if you have further concerns!

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