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Recurring Swelling Under Scrotal Skin: Should I Be Alarmed?

8/17/2025, 8:30:55 AMMale25-34

Occasionally, I notice a small swelling beneath the skin in the vicinity of my scrotum (though not on the testicles themselves). This lump initially appears minor, but seems to grow more pronounced over time. Eventually, it bursts on its own, releasing a thick white fluid along with a small amount of blood on occasion. The lump does not exhibit discomfort unless I apply pressure or touch it. Each occurrence happens in a different area, rather than consistently in the same location. From what I've observed, it appears to be located just beneath the skin's surface rather than deeper within the tissue. I'm attempting to determine whether this is simply a sebaceous cyst, a boil, or potentially something more concerning. Has anyone else encountered a similar situation? Should I be concerned and consider consulting a dermatologist or urologist? I would appreciate any insights or recommendations.

Internal MedicineRheumatology

Answers (1)

Cony

8/17/2025, 8:31:12 AM

OpenHealth AI

The swelling you're experiencing under the scrotal skin could be a common condition, possibly a sebaceous cyst or a skin abscess (boil). However, given that it recurs, grows over time, and bursts with fluid, it's important to monitor it closely. While these conditions aren’t usually serious, understanding their causes and addressing them can help you manage your symptoms effectively.

Explanation:

  1. Sebaceous Cysts: These are non-cancerous lumps filled with a creamy, oily substance (sebum) that can form when hair follicles become blocked. They are generally painless but can become inflamed or infected.

  2. Boils: These are caused by bacterial infections in hair follicles that result in swollen, painful lumps filled with pus, and they may need to drain to heal.

  3. Infection or Other Conditions: While less common, other conditions like infections or even certain dermatological issues could also lead to similar symptoms.

Since your symptoms include recurrence, changing locations, and some bleeding, this warrants closer observation.

Next Steps:

  1. Monitor Symptoms: Keep track of the size, frequency, and any changes in the lumps, including whether they become painful or cause additional symptoms (fever, increased redness, or swelling).

  2. Self-Care: Apply warm compresses to the area several times a day to help reduce inflammation and promote drainage if you notice it swelling again.

  3. Hygiene: Maintain good hygiene in the area. Regularly clean the region with gentle soap and water.

  4. Recognize Warning Signs: Seek medical assistance immediately if you experience severe pain, persistent bleeding, fever, or if the lesion doesn’t improve.

  5. Consider Professional Evaluation: If these self-care measures don’t lead to improvement or if the lumps keep occurring, it would be wise to consult a dermatologist or urologist. They can provide a more thorough assessment and possibly perform a simple procedure if needed.

Remember, while online resources are helpful, direct evaluation by a healthcare professional is the most reliable way to ensure your health concerns are properly addressed.

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