Scrotal Bumps, Cysts and Lumps

Bumps may appear on scrotum for variety of reasons. We may broadly divide them into 2 categories:

  • Bumps over the surface of the scrotal skin
  • Lumps inside the scrotum sac

Let’s start with the bumps that appear over the surface of scrotum. As we will see, many of these are part of normal skin texture and some are simply benign individual variations.

Normal Hair Follicle Bumps on Scrotal Skin

Normal skin of sack

Normal Hair Bumps

It is very important to know about the normal skin texture of the scrotal sack. Most of the hair bumps, that guys worry about, are the normal hair follicles. They look raised because the scrotal skin is thinner as compared to the skin elsewhere in the body.

These are normal, but frequently become a cause of worry just after puberty when hair start to appear on the genitals.

Folliculitis

Rarely one of these hair follicles may become inflamed, sometimes when one tries to pluck or shave the hair, leading to folliculitis. The follicle may also get infected with bacteria called staphylococcus aureus.

It appears as white-headed pimple around the hair follicle that may be itchy. It may later turn red and painful.

It may disappear on its own with proper hygiene, but sometimes require medical treatment. Warm compress, few times a day, may provide some relief. If it doesn’t improve with supportive measures or get worse, then an antibiotic treatment may be required.

Fordyce Spots

Fordyce Spots

Fordyce Spots

These are visible oil-secreting sebaceous glands that are found in large percentage of population. These are considered normal structural variant rather than a disease. Sebaceous glands secrete oily substance called sebum, that keeps the skin smooth and lubricated.

Fordyce spots appear as small, red or white bumps on the scrotal skin, that are typically painless. They are considered benign and require no treatment.

Sebaceous Cysts

sebaceous cyst

Sebaceous Cyst

A painless lump over the scrotal skin is very likely to be sebaceous cyst. It is also called epidermal cyst. These cysts are common in younger age group.

Skin that bears hair is kept soft by the oil (sebum) secreted by sebaceous glands. These glands open into the hair follicles.

When the ducts draining the glands gets blocked, they become distended by their own secretions. Eventually, enough sebum accumulates to form a smooth, firm nodule in the skin. This painless cystic swelling is called a sebaceous cyst.

Features

Such a swelling is discrete or separate from the underlying testicular tissue, that is, it’s not attached to the underlying surface. It is present on the skin surface over the scrotum. It is freely movable, smooth and soft to firm in consistency.

Sebaceous cysts are painless unless they become infected.

Complications

Inflammation

Even when the cyst is not infected, it may get irritated and inflamed due to friction with the trouser or scratching. The lump may become swollen and tender to touch.

Such a condition is treated by providing rest to the cyst. Avoid friction or any other irritation. Keep it clean and dry. Also, anti-inflammatory medicines may be given.

Infection

Numerous bacteria are present in the groin region. Also, the region remains moist. All this predisposes to infection. Scratching the cyst or breaching the skin by any other means may allow the bacteria to get inside and cause infection.

Infection is treated by antibiotics. Pus, if any, needs to be drained out.

Rupture

The cyst may rupture inside its capsule. After rupture, the chances of infection may increase. Such a cyst presents as a boil-like abscess.

Discomfort

Friction, as in movements, may cause discomfort. Sebaceous cysts may also cause difficulty while urinating or mating.

Malignancy

Sebaceous cysts are usually not cancerous. However, a small percentage may show malignant changes.

Treatment

If a sebaceous cyst is small and causing no problems, it may safely be left alone.

For inflamed cysts, a corticosteroid injection may be injected into the cyst to reduce inflammation. Triamcinolone acetonide is a synthetic steroid used for the purpose.

Sometimes these cysts become infected. This happens because bacteria are already present in the groin. Even little scratching or friction while walking may lead to infection. An infected cyst is red, swollen and painful. It may discharge a foul-smelling pus. Such a cyst is treated with antibiotics and then excised to prevent recurrent infections.

Larger cysts may cause friction and are unsightly, so are usually excised under a local anesthetic.

Surgical Management

The medium to big sized cyst, containing sebum or pus, needs to be drained. This may be done by making a small surgical nick on its surface and subsequent draining.

Alternatively, the cyst may be excised surgically along with its capsule. This method is particularly chosen when the cyst has a tendency of recurrence.

Other Possible Causes of Bumps on the Scrotum

A Pimple

These are extremely common in youth. They are painless, unless they get infected. They are small, firm to hard to touch.

Pimples are left as such unless they give some symptom. A painful pimple may be infected and may be treated with topical antibiotic creams.

Wart or Herpes Infection

Such conditions are almost always painful. You need not worry about them, unless you’ve had recent sex with somebody infected.

They may present as an ulcer or a bump. The lesion has a tendency to spread to adjoining areas.

Jock Itch

This fungal infection presents with circumscribed itchy rash consisting of multiple, pinpoint pink bumps. The rash is raised, reddish pink, flaky and very itchy. You may read more about jock itch rash.


Causes of Lumps Inside the Scrotum

Till now, we have discussed the possible causes of bumps present over the scrotal skin surface. Now, we will discuss the causes of lumps inside the scrotal sac. These include:

Spermatocele

Spermatocele is an abnormal cystic growth of the epididymis, a coiled tube on the upper side of testicle, that transports and stores sperms. This abnormal sac or spermatic cyst contains dead sperm cells and fluid. This usually does not cause pain.

Spermatocele doesn’t usually require treatment. But sometimes it may grow large and tense. Then it may require surgery.

Varicocele

Varicocele is an abnormally swollen or knotty varicose vein present along the spermatic cord. Essentially, it’s an enlargement of the veins that drain the testicles.

Usually it doesn’t produce any symptoms. Rarely it may produce pain that may be perceived as dull discomfort or heaviness. It may increase on prolonged standing or later in a day after exertion. It may get relieved after rest.

Mostly varicocele doesn’t require any treatment. If the pain is mild then it may get relieved by resting with lying on your back. You may also take pain medications. If the pain is severe or accompanied by swelling or infertility problem, then you may need to undergo a surgery.

Hematocele

Hematocele is a collection of blood in the pouch. It occurs after surgery or injury involving this area. It may also get consolidated and become hard with time. There may be some discomfort as well.

If it is small and painless, then foot elevation and bed rest may be sufficient. Otherwise surgery is performed to drain the accumulated blood. Ultrasound is done to diagnose the type of swelling.

Hydrocele

Hydrocele is a sac filled with fluid around the testicle. It usually leads to smooth and uniform enlargement of the scrotum.

Epididymitis

Epididymitis is a pain and inflammation of a curved and coiled structure at the back of testicle called epididymis. It normally stores and carries sperms.

Inguinal Hernia

An inguinal hernia occurs when there is a protrusion of abdominal contents through a weak area in the abdominal wall that passes via inguinal canal (groin) into the scrotum.

Testicular Torsion

Testicular torsion occurs when testicle rotates and twists the spermatic cord through which it is suspended. This results in cutting off the blood supply to the testes and consequent necrosis.

Injury to the Scrotum

An injury may also lead to the swelling due to oozing of fluid and blood at the site of trauma.

Tumors

Testes sometimes is affected with an abnormal growth of tissue due to tumor or cancer.

Further Evaluation

For further evaluation, the following may be asked on examination:

  • Does the lump hurt when touched or squeezed?
  • How does the swelling feel- liquid, firm, or solid?
  • Is it smooth, twisted, or irregular in looks?
  • Does it seem attached to underlying tissues like testicles or the glands?
  • Self examine your groins to see if there are any enlarged lymph glands.

Call for Attention

A testicular mass is always a cause for attention and should be evaluated right away. The primary concern in such cases is testicular cancer. Hence, if the lump seems to arise from testicle or attached to it, get it examined by a doctor immediately.

Making a Diagnosis

The doctor will examine the lump. The following tests may be done to help diagnose a scrotal mass:

  • Ultrasound of the scrotum
  • Biopsy of the lump

Medical Advice (Q&As) on “Scrotum Bumps and Cysts – Causes With Management

  1. Anish

    I have a small hard lump on my scrotum that can be felt on top. I squeezed it and felt a little pain. What could it be?

    Reply
    1. Buddy M.D. Post author

      If it can be felt distinctly from underlying testis, and can be felt almost as part of skin, then the chances of sebaceous cyst are higher. But other causes (as explained above) should be considered as well.

      Reply
      1. Buddy M.D. Post author

        Do they itch or pain? Is the surrounding area red or swollen?

        If no, these bumps are likely to be normal. They may be Fordyce’s spots. You may read about them in the above written article.

        Reply
  2. Karan

    A white small bump appeared out of nowhere. Does masturbation has to do anything with this? How can I get it removed? Will it go on it’s own?

    It’s very small but looks a bit odd and I don’t want it on my balls. What should I do?

    Reply
    1. Buddy M.D. Post author

      It’s unlikely to go on its own, but if uncomplicated (that is not infected and not growing) then it is usually left alone. If it feels unsightly, then the surgeon can easily remove it under local anesthesia.

      As such masturbation does not have much to do with it, but it may contribute if it leads to moisture or unhygienic area of skin.

      Reply
  3. Robert

    I have a similar lump/bump. It is painless but does not secrete any pus when squeezed. It feels quite hard now but initially it felt more like a liquid.

    Reply
    1. Buddy M.D. Post author

      It sounds like a cystic lump, may be a sebaceous cyst or any other. But you need to be watchful.

      Though testicular cancers are very rare, it would be better to examine your scrotum for any suspicious change. Self examine during or after a bath, when the scrotal skin is relaxed and can be easily moved.

      Self examination of the testicle

      Gently roll the testes and try to see if there is any change in its consistency. A normal testicle is smooth in texture. Any roughness, if present, should be noted. You will feel the epididymis. That is a normal structure often confused as being a lump.

      The skin over the testes should be easily movable. If you feel that it is adherent to the underlying structures at any place, again note it. Also look for any gland enlargement in the groin region.

      It would be advisable to observe this lump at regular interval. If it is a simple cyst, nothing needs to be done till it pains or shows any other symptom.

      Reply
  4. Dave

    I have a soft bump on the upper part of my thigh. Initially I thought it was a pimple, so i did nothing but scrub it. Now it seems to have gotten a bit larger. Its soft almost balloon-like.

    I’m extremely nervous about it, not to mention it’s not pleasant for any girl to look at. I’ve had it for about a week and a half. I was hoping it was just disappear but it hasn’t.

    Reply
    1. Buddy M.D. Post author

      It’s not a good idea to scrub or pull it. You may leave it as such, undisturbed. There are pretty good chances that it is a pimple, like anywhere else on the body. It will go away on its own.

      If it grows, pains or leaks out, intervention would be required.

      Reply
  5. Rojy Blanca

    I been having this lump under my left armpit and it’s swollen and it only hurts when I squeeze it. Sometimes the lump looks big and then it reduces its inflammation.

    I went to the doctor a couple of months ago and the doctor said it was an infected axillary cyst and needed a surgical excision. I wanted to know if this should be taken care of it right away since I been having it since 4 years ago. Also when I squeeze it this gray liquid comes out.

    Reply
    1. Buddy M.D. Post author

      It is recommended to go doctor at the earliest. Though the infection seems to be arrested and so you could keep it for 4 years, it is better to get rid of such lesions from the body as soon as possible. It is unlikely that it will resolve on its own.

      Such lumps may grow in size with time and may press upon important underlying structures like nerves and vessels of the region.

      The gray liquid appears to be a mixture of infected material, dead cells and tissue debris.

      Reply
  6. Raymond

    I have a very small bump on my scrotum. I have checked and it isn’t part of my testes.

    It’s not sore unless I squeeze it. Any ideas?

    Reply
    1. Buddy M.D. Post author

      Just check if it is freely movable over the underlying surface.

      If yes, it’s likely to be a sebaceous cyst. You may read about it above.

      However, if it is hard or fixed to structures below it, you need to go for an examination.

      Reply
  7. Jack

    I have had a lump on my scrotum for almost 5 years. It is kind of hard, white in color is movable and not connected to testicles. It has grown in size over the years and does not have any pain when I touch it. Can these sebaceous cysts continue to grow over time?

    Reply
    1. Buddy M.D. Post author

      Though these cysts are slow to grow, they may grow to give bigger swellings.

      As they grow, the chances of them getting traumatized during walking or getting infected increases. The cyst may become painful. Such cysts are drained or excised.

      Reply
  8. Chris

    Hello, I am 17 and I have a lump the size of a walnut sticking out from under my thigh. I am a male and really scared it does not hurt unless I puss it or squeeze it.

    Reply
    1. Buddy M.D. Post author

      You need to get it examined.

      It may be a swollen lymph node. This happens secondary to some infective cause. Such swellings are usually painful.

      It may be a lipoma. This is basically fatty tissue getting deposited underneath the skin.

      Reply
  9. robby, 22

    I have a grouping of these small whitish bumps on my scrotum. They are no bigger than the head on a ball point pen, movable and not attached the the testicles themselves, just on skin. There are about 15-20 of them total. What do you think they are?

    Reply
    1. Buddy M.D. Post author

      Likely to be clogged sebaceous glands.

      Just leave them as such. Wear loose cotton underwear. Drink lots of water.

      Avoid fatty stuff and have plenty of fresh fruits and vegetables.

      If you notice that they are increasing in number or developing some symptom, it is recommended to visit your doctor for examination.

      Reply
  10. Karen

    Good day! I’m Karen, I got sebaceous cyst removal last November 2013. And now it’s June 2014, again at my left armpit, there is this red with white dot thing same look like my sebaceous before. It’s painful too. Is it possible that sebaceous cyst will get back at my left armpit but not in the same place? Thank you and more Power. God Bless.

    Reply
    1. Buddy M.D. Post author

      It may be a sebaceous cyst again.

      It is common for these cysts to recur again and again after drainage. This is so because the capsule enclosing the cyst is still in place.

      The capsule cells regenerate the cyst with time.

      You may require an operation where the cyst is removed along with the capsule enclosing it. This is called total excision of the cyst.

      Read above in detail about sebaceous cysts and other possible lumps in this area.

      Reply
  11. micky johnson

    I’ve been checking my scrotum recently again and I’ve still got this small white lump. It’s not attached to the testis, it’s just under the scrotal skin. I’ve had it for about 2 years maybe more and when I squeeze, it hurts a bit but then it goes away and that’s the end and it hasn’t been infected and hasn’t gotten bigger. I was asking if it’s something I need to check up on or if it’s fine as long as it doesn’t get infected or bigger?

    Reply
    1. Buddy M.D. Post author

      This sounds like a cyst, may be a sebaceous cyst. It is benign in nature. You may ignore it and let it be if it doesn’t bother you.

      Intervention is required only if it grows in size, or becomes painful (infected) or gets attached to the underlying structures.

      You may still visit a dermatologist, if you want, and get it checked up to be sure.

      Reply
  12. Cody

    Its a small lump on the right side of my scrotum. It doesn’t hurt at all. It kind of feels firm. Thank you.

    Reply
    1. Buddy M.D. Post author

      Is it attached to the underlying structures?

      This is very likely to be a sebaceous cyst. You may read above in detail about it.

      Such swellings usually subside on their own with time. No medical intervention is required.

      However, if it grows in size or becomes painful, you need to see a doctor.

      Reply
  13. Dan Teixeira

    Hello Doctor, I noticed a small painless swell by my scrotum close to my upper right thigh. Can you please help me know what it is? Thank you.

    Reply
    1. Buddy M.D. Post author

      Let us know whether the lump is hard or soft to touch. Also, it is attached to the underlying structures or freely movable?

      Reply
  14. George

    On my scrotum there is a sort of red lump. I’ve tried to get rid of it but there seems to be no liquid leaking from it. It feels smooth, and sometimes stings depending on how I squeeze it. I’m not old enough for any sexual activity so it can’t be anything to do with that. I’ve tried adding some spot cream to the area but it hasn’t seemed to work. I don’t know what it is, or where it’s come from. I shower often also. It doesn’t feel round when I touch it, it sort of feels long and it’s underneath the skin. I’d just like to know if there’s any sort of treatment needed.

    Reply
    1. Buddy M.D. Post author

      This appears to be a sebaceous cyst. You need to do nothing about it. It is likely to go away on its own with time. It may take 15 days or even a month, nothing to worry.

      Do not squeeze or try to pop it. All this would infect the cyst and complicate it.

      Reply
      1. George

        After a shower also, it seemed to make my skin peel off the area with no pain, sort of like sunburn. Thanks for you’re reply, much help 🙂

        Reply
      2. Norman

        I’m starting to think I also have this I have a hard white lump under my penis. It’s freely move able but if move the right way it will dis charge white pus and the lump will shrink in size and I’ve had this lump for about 3 to 4 weeks but it seems to be getting smaller now on its own. Any recommendations on how to help get rid of it quicker. I have also used ice packs and that also reduces the size. Thank you for your time and consideration,

        Reply
        1. Buddy M.D. Post author

          Likely to be a sebaceous cyst. It would regress in size with time on its own. Nothing needs to be done.

          You may try warm compress over it to soften its surface. This may also help in draining out sebum from inside it. However, do not force drainage at any point.

          Reply
  15. Toshi

    I have cyst on my testes, I had surgery 5 years ago & completely removed. But now 6 months ago some balls are again appeared. Painless and not movable. Any suggestion please.

    Reply
  16. Travis Allen

    Hello, I am concerned about some bumps on my scrotum. I have had multiple whitehead looking bumps on my scrotum for years now. I have tried to pop them, and a solid white pus comes out, but this is then proceeded by the bump growing in size. Two of these bumps have grown substantially due to me trying to pop them. But since, I have stopped messing with them. Until recently (years later), the largest of the bumps started turning red, and feels like liquid to the touch (unlike the others which are generally hard). I took a small needle to it, slightly punctured it, and squeezed all contents out of it. Tons of pus and blood came out, similar to a very large pimple. The bump still appears to be there, but it has reduced in size greatly. I would believe that these are pimples, however, I have had them for about 5-7 years, and they haven’t gone away.

    What are these bumps, and what course of action should I take with them?
    Thanks!

    Reply
    1. Buddy M.D. Post author

      The white stuff which comes out of it is likely to be sebum. This is semi solid and pasty in consistency.

      You need not mess with the bumps. Popping them is likely to infect them, making them turn red and painful.

      Just let them be. Practice good hygiene in the groin region. Bathe daily, assuring that you wash the groin area thoroughly with plenty of water. Soaps or gels are not required.

      This would cleanse the area on a daily basis, washing away any extra sebum being produced.

      Wear loose cotton underwear only. Make sure that the area is properly ventilated throughout the day. Do not let moisture get collected there.

      Cut down on fatty food and fried stuff. Avoid junk food, they predispose to the formation of pimples.

      Instead, take plenty of fruits and vegetables in your meals. Drink lots of water.

      All these steps would lessen your tendency to get those bumps on the scrotal region. The bumps which are already there are likely to regress gradually with time.

      Reply
  17. Junior

    I have a “pimple” on my scrotum. There is a mass around it that can be felt inside. It currently hurts when touched.

    Reply
  18. Teen

    Hello, I am 14 and have a lump with a white head at the underneath of my penis and top of my balls, the lump is large and hard under the head of the spot. I have not had sex so it’s jotting like that, it hurts a lot. Any advice please.

    Reply
    1. Buddy M.D. Post author

      Likely to be an infected pimples, or infected hair follicle.

      You need to apply a topical antibiotic cream over it. You may use mupirocin (bactroban) over it, twice daily for a week.

      Avoid friction over these bumps. Wear loose lowers to assure this.

      Reply
  19. John

    I have noticed a very small hard lump that seems to be free inside the scrotum. I have also felt an aching pain for about a month now. What do you think this is?

    Reply
    1. Buddy M.D. Post author

      Likely to be a sebaceous cyst. Don’t fiddle with it much. Just let it be. It’s likely to regress on its own with time.

      If it grows in size or becomes attached to the underlying structures, you’ll need to see a doctor.

      The ache is unlikely to be due to it. It is more likely to be muscular, due to some pull or wrong posture.

      Reply
  20. Dustin Scott

    Hey there, I have a small bump on my scrotum skin on the left hand side. I just discovered it it’s non painful and a little hard. I was wondering is this a reason for concern or is this a normal thing. Please reply, as I am quite worried. The bump seems to be under the skin and it is not at all painful or discomforting.

    Reply
    1. Buddy M.D. Post author

      This bump is very likely to be a sebaceous cyst. You may leave it as such. Do not press it or fiddle much with it. It’s likely to regress on its own with time. Take care to avoid friction over the bump. Wear loose garments to avoid it.

      You need to be concerned if the bump becomes attached to the underlying tissue, that is you are not able to move it freely. Other signs of concern are any pain or discomfort in the bump.

      Reply
      1. Dustin Scott

        In the beginning I pressed it a bit. Now if I do try and press it, it does tend to pain very slightly but if I don’t touch it, it remains without any pain at all. Is there any kind of warm compression that I may use to get rid of it faster, although I feel no discomfort at all or do I leave it as it is. Note, it only pains when I press it.

        Reply
        1. Buddy M.D. Post author

          You may leave it as such.

          No medical intervention is required unless it grows in size or becomes painful (even without touching).

          Reply
  21. Rod

    Recently I’ve noticed a very small hard lump in the scrotum that seems to be attached to whatever tube like structure is in the scrotum. I’ve also felt an ache that comes and goes for about a month now. What is this?

    Reply
    1. Buddy M.D. Post author

      You need to be examined. This may be some infection, some localized blockage in the tube attached to the testes.

      Reply
    1. Buddy M.D. Post author

      Is it movable?

      If yes, just let it be. Take care that it doesn’t rub against your clothes and get injured.

      It may be a cyst. It’s likely to regress on its own with time.

      Reply
  22. Hamid

    A slight pain began a couple days ago. I felt very small lump that felt more or less like a bead of rice. It’s on top of my scrotum on the right side. It was a slight dull ache, but now it only hurts when I press on it. It seems to be attached to the testicle. I have no nausea nor other symptoms. Just pain on palpation.

    Reply
    1. Buddy M.D. Post author

      It’s likely to be a cyst. Nothing to worry.

      You may leave it as such. Avoid friction over the lump while walking and other activities. The lump is likely to regress with time.

      If it pains or becomes big in size, medical intervention would be required.

      Reply
  23. Kuda Thomas

    I am 16. I have small white spots on my scrotum and if I squeeze them white cream stuff comes out. They are only painful when I touch them and they are not connected to my testicles. What should I do?

    Reply
  24. Jone

    Hello, I experience some pain in the downer part of my left testicle when I touch it. And it’s like a soft lump in the downer part, in the region of the epididymis. I think it’s related issue to the epididymis but I’m very worried if it’s testicular cancer, when I’m not touching it, there no pain at all. Just when I squeeze it, I feel a lot of pain. Please if there is any other condition that causes a such problem in that region or it’s a cancer.

    Reply
    1. Buddy M.D. Post author

      This is very unlikely to be cancer. Either you have got some minor trauma there, or some infection.

      Don’t touch it often. Wait for a day or two. If it doesn’t improve, you may visit a doctor for examination. You may require antibiotics.

      Reply
  25. Bobby

    I’ve noticed small bumps around the bottom of shaft. I can move them freely. They not attached to anything under my skin and there is no hair coming out, so I was wondering if you could help. Thanks.

    Reply
  26. Deekshith

    I got hair follicle disturbance on face (enlargement) and on testis then I consulted doctor. She gave me a 10 days course. I am in 6th day now but pain is reduced but no reduce size of wound and it got punctured and pus is coming continuously from it.

    Reply
      1. Deekshith

        She gave me molox-cv those are amoxycillin and potassium clavulanate tablets and septa d may be antibiotic tablets and a cream fusidic acid cream.

        Reply
        1. Buddy M.D. Post author

          The medications are enough to be able to provide an antibiotic cover. May be you require simultaneous drainage of the wound. Talk to your doctor about it.

          Reply
  27. Godwin Cletus

    Have been having boils all over my head for more than two years now, I went to a doctor and complained,and he prescribed ciprofloxacin and up till now it’s still the same issue .

    Reply
  28. Marshall

    I am 18yrs. Recently I have noticed a small lump on top of my testes. It moves freely and it’s not attached to the testes, however it pains a little. Hope it will not lead to cancer. Please help.

    Reply
  29. Mike

    I am 19 years. I recently masturbated when wearing tight boxer and since then a small lump has formed on top of my right testes inside my scrotum. It moves from side to side. I am also experiencing slight pain when walking or sleeping. Do you think the lump may have occurred due to masturbation or my balls getting pressed by the tight boxer.

    Reply
    1. Buddy M.D. Post author

      May be a cyst or a pimple. It’s not due to masturbation.

      Wearing a loose boxer would help. Tight undergarments predispose to pimple formation.

      You may leave it as such. Just avoid friction over the bump while moving and other activities. The bump is likely to go away on its own.

      Reply
  30. Royaldee

    Hello Doctor,
    I noticed a lump on my scrotum sack for about 3 years ago. It was hard and painless. 3 months ago, I noticed that it was dry ( like a dried pimple), so I tried pressing the whitish lump out but I couldn’t. I began to notice little pain on the lump since afterwards (though the pain is not regular because it comes and goes). However, I observed from last week that the lump has increased a little in size with red patches on top of it. It has also become little painful at intervals as well. Please what do you suggest I do? Thanks.

    Reply
    1. Buddy M.D. Post author

      Appears to be infected. Do not delay. You need to see a doctor and start appropriate antibiotics at the earliest.

      Reply
  31. Ajer

    I have a small cyst on my scrotum. When I touch it, it’s paining. It is day to day inflaming up. What to do, please advice.

    Reply
    1. Buddy M.D. Post author

      Start applying a topical antibiotic cream over it. You may use mupirocin ointment for the purpose. Apply it twice daily for a week.

      Reply
  32. gaige crabtree

    I am a 18 year old male.
    I have these hard lumps on the bottom of my testicles when I get in the mood the left one is there and when I finish the right one is there and the left is gone shortly after this is normal. (It’s only 2 hard ball shape, they are the size of a pea.

    Reply
    1. Buddy M.D. Post author

      Any pain, redness or itching?

      If not, it’s normal. Nothing needs to be done. It’s likely to be your anatomy.

      Reply
  33. Matthew Samples

    I have a small hard lump that appears to be attached to my scrotum. I can squeeze the lump and a yellowish white liquid comes out of the lump such as a pimple. This is not a pimple however because I’ve had it for several months now. I was thinking it was some type of cysts. It is painless even when I squeeze the liquid out. I’m just concerned because I don’t want it to cause issues in the future. What should I do? How can I make it got away?

    Reply
    1. Buddy M.D. Post author

      Very likely to be a sebaceous cyst, with yellow sebum filled in it.

      If small in size, such cysts may be left as such. They usually regress on their own. However, if big in size, they have a chance to get infected. So, they require surgical drainage.

      Reply
  34. eric

    Hi! I was just wondering about my left testicle. I have a hard small pimple on the lower end of the testicle. There is no pain associated with this. Both testicles feel smooth and not to different in size. Should I get it checked out?

    Reply
  35. benefa

    I have swelling inside my left testicle. I don’t know the exact time it appeared and it’s since my childhood. I feel pain when I exercise and do sport. My penis size is so small and seems hindered in growth. Please can you help the cause, solution, and is the size problem due to?

    Reply
    1. Buddy M.D. Post author

      You need to see a sexologist. An abdominal/ pelvic U/S needs to be done see assess the status of the testes.

      Also, your male hormones may be checked.

      Reply
  36. Darrell colbert

    I been to the doctor last week or 2 and they said I had testicular swelling and also it was hydrocele. Also they said it was three small bacterial hydroycele. There’s a small ball on my left testicle but when I touch it or feel it he doesn’t hurt and it reappears. Is this normal?

    Reply
    1. Buddy M.D. Post author

      No this is not normal. You need to get it treated. The fluid filled sac need to be drained. Such sac are prone to get infected.

      Reply
  37. shaun

    I noticed I had a series of small whitish bumps under the skin of my penis shaft, and I was hoping they would go away on their own but they haven’t. I noticed I also had the bumps on the other side of my shaft too, so they are on the left and right, but nowhere else. They vary in size, and they don’t hurt but I definetely want them to be gone. I also later noticed I have about 4 white pimples I believe on my ball sack, spread out. They seem pretty hard and not able to pop. Any ideas what all these bumps could be? And if so is it treatable, what do I need to do? And last but not least, just the other day I noticed I also have like 5 or so skin colored bumps at the back of my tongue, and I have had bad breathe and I believe it’s caused from that.

    Reply
    1. shaun

      Oh one more thing I noticed is that my penis also shrank in size it seems, not so much when I’m erect, but when I’m soft it seems that it’s much smaller then used to be and there’s a slight darker patch of skin now on my shaft that I don’t think was always there.

      Reply
    2. Buddy M.D. Post author

      Are these white bumps painful?

      If not, they are likely to be sebaceous cysts.

      Do not pop them. Keep the area clean and dry. Wear cotton based loose undergarments only. This is to keep the area well ventilated.

      If any of the bump becomes painful, you may need to apply antibotics over it.

      Reply
      1. shaun

        No the bumps arent painful, but I’ve had them for awhile. I’m worried they won’t go away on their own, and I really don’t want them getting worse or causing any problems for me such as making me sterile or making my penis nonfunctional. Also how about the warts in the very back of my mouth on the back of my tongue? I noticed my breathe has been bad lately, no matter how much I brush and I looked up bumps on the back of your tongue. I read something about bumps on the back of your tongue causing your breathe to smell bad.

        Reply
        1. Buddy M.D. Post author

          Bad breath is commonly due to some decayed tooth. Other causes include oral thrush or something in the food that is smelly, like garlic etc.

          The two problems may be not be connected.

          The bumps are unlikely to be infected and so unlikely to cause infertility. However, it’s better to see a doctor for physical examination.

          Reply
  38. joe

    a few months ago i noticed a hard round lump on my scrotum (not attached to the testes) roughly the same size as a pea which is visiable from the outside but can be felt inside the scrotum aswell i left it and after a while it seemed to of reduced in size slightly i assumed it was just an ingrown hair however recently it randomly increased in size i tried to squeeze it as i can see a tiny white spot which i thought was seebum however no liquid came out and it has increased more in size and is now slightly painfull could you please tell me what you think it is and what i can do to help it go

    Reply
  39. ADARSH RANJAN

    Hello Doctor, actually I seen a pimple like structure which is round and little hard on my scrotum, which is attached with only skin and it’s colour matches my skin colour of that area, it didn’t contain any pus or water. After 7 days I saw same type of 4 or 5 pimple or whatever it is grow on my pennis upper skin and they also not contain.There diameter is almost 3mm to 5mm. My question is what is this and how to cure this ? Also I am virgin.

    Reply
  40. Xenon

    Hello doctor, this morning I noticed a very small lump on the inside of my ballsack, it is not connect to anything on the inside, any idea to what it could be? Slight pain when rubbed or touched.

    Reply
  41. Shaik

    Hai.Doctor

    I have 5 to 6 pimple like structure on my testicle from almost 10 years .I hade low sperm count and motility .After taking tablets sperm count issue is resolved.but motility is low is lumps is that the pimple on my testicle is the issue ? Please guide me

    Reply
    1. Buddy M.D. Post author

      The pimples are unlikely to affect motility. Motility is linked with your daily diet. Eat healthy, avoid caffeine, smoking and alcohol. This would improve motility.

      Reply
  42. Josh W

    About 3 weeks ago, I had an uncomfortable bump on my testicle, so I examined it when I got home from work. It was irritated, and red, like a pimple, which I’ve had a few before so I left it alone. After 2 or 3 days, the irritation stopped but it had grown bigger and started to harden. I squeezed it a little, but nothing happened and it was slightly painful so I left it alone. After a week it became really hard, fixed position, and the outside began to get hard and rough like a wart. I started to get a little worried, but I left it alone. 4 days ago, it had begun to rub on my jeans and get irritated again, and I gave it a squeeze, and just a little drop of blood. It hurt so I left it alone till 2 days ago. I was frustrated with it, so I squeezed it hard, which separated some of the skin, which ironically, didn’t hurt. Squeezing it was painful but the “head” of it peeled off without any pain, just a sore. I used medicine and bandaid till just a few minutes ago. When I squeezed it, it hurt and bled, but when I rolled my finger under it, it didn’t hurt and I pushed it upwards. To my relief, it “popped”. I did have a 1 inch long, almost solid, white in color “string” of material come out of it… I know it was not the smartest thing to do, but now I’m wondering what it was/is… I am treating it with antibacterial cream, and keeping the area clean, just wondering what it was… any ideas?

    Reply
    1. Buddy M.D. Post author

      Likely to be a sebaceous cyst, that got infected.

      You are using the right treatment now. It may take a week for it to heal completely.

      Reply
  43. senna

    Doctor , I am feeling a match head size ball on my left testis that is moving freely inside my scrotum sac it is not attached to the testis but I feel a hardness in my left testis

    Reply
  44. sam

    Doctor , I have a match head like ball in my left testis but it is not attached to it. It moves around it is slightly hard but when I squeeze it it doesn’t hurt but kinda feel hard . also my left testis don’t feel smooth it is feeling like jelly . what could it be doctor??

    Reply
    1. Buddy M.D. Post author

      Likely to be a cyst inside the sac. Nothing needs to be done. It may regress on its own with time.

      Reply
  45. Kris

    Hi,
    I noticed a a fixed bump on th right side of my scrotum after wearing tight underwear. It is painless unless touched , If I squeeze pus comes out now.
    What should I do?

    Reply
    1. Buddy M.D. Post author

      Keep it clean and dry. Avoid friction over it.

      You may start applying a topical antibiotic cream over it. Mupirocin may be used twice daily.

      Reply
  46. Alex

    A week or so ago the area around my right ball sack became itchy, more so than usual. I am of the larger variety so friction seemed the likely culprit and I treated it as such with baby powder.

    The itch did not go away, getting so bad as to wake me up in the middle of the night. I kep treating it as heat related friction but the problem persisted. Then today I touched the area (after sanitizing my hands) only to discover a odd-smelling fatty substance is being secreted from somewhere (I can’t tell due to being unable to properly inspect myseld in that area). I’m considering visiting my local doctor because it is not going away.

    Any idea of what it could be?

    Reply
    1. Buddy M.D. Post author

      Start using anti fungal powder at the earliest over the affected area. Keep the area well ventilated and avoid friction over it.

      Reply
  47. Anonymous

    Hi when I was washing my whole body then going to down to my genitals and I felt like something sore on my scrotum skin and when I looked it down there was this small whitehead. I tried to pop it and there was no blood but there was this small whitehead that came up out of it. Is this normal? Is this just an infected sebaceous gland? Help.

    Reply
    1. Buddy M.D. Post author

      Most likely, this is just an infected sebaceous gland, very much on the surface. Nothing needs to be done.

      Reply
    1. Buddy M.D. Post author

      A single whitehead?

      If yes, this is very normal. Likely to subside on its own. You may try warm compress over it. This may soften it and help its drainage.

      Reply
  48. Richard Russell

    There’s a couple of bumps on my scrotum, they don’t hurt wen I touch or squeeze them but they itch sometimes, at first. I only noticed 2 and then there was a 3rd. The gland on the right side of my groin is slightly tender to touch. Is there an infection? Do I need to seek medical attention or can I rub antibiotic cream on it?

    Reply
  49. Ahmad

    Hi.
    I have a lot of pimples on my scrotum. They are white in color and pus comes out when squeezed. I have been squeezing them out a lot the past couple of years. Some have grown a little big and hard and can’t be popped. It’s like I have hundreds of pimples on my scrotum. My age is 17 and I’m really worried about this. Please tell me what the problem is.

    Reply
  50. Jeff

    I have large bumps on my scrotum that are getting larger and are hard and tender to touch they are very pain and occasionally have green pus. I went to the Dr. He said, I had jock it that is turning fungal could these large hard lumps be from getting a fungal infection in the scrotum?

    Reply
    1. Buddy M.D. Post author

      Jock typically gives you a lot of itch. If you are itching there, the lump may also be due to it.

      Reply
  51. Anonymous

    Hi doctor,

    Since yesterday I noticed on my scrotum lots of white spots, I only noticed them because when I was taking a shower I saw a white spot and I thought it was shampoo, but as soon as I washed my scrotum I felt a burning sensation, so those white dots disappear when I wash them but they appear again after about 5-6 minutes slowly when it’s not wet anymore. I also saw some small fissures and 2 or 3 spots with no skin close to the white spots I was talking about. What should I do?

    Reply
      1. Anonymous

        It only itches when I walk too much since currently it’s hot weather. Therefore I went to the doctor today, she examined and said it might be dermatitis, then she recommended me to take Fexofenadine, Cefalexin and a cream called Novacort that contains Ketoconazole. But I’m a little worried as I also take rupatadine fumarate daily because of my Cholinergic urticaria, and on the package insert of the rupatadine medication it says it’s not recommended to take cetoconazol which means Ketoconazole in English. As Ketoconazole cream is only gonna be applied on the area, do you think this medication is ok? By the way fexofenadine and cefalexin are oral medications.

        Reply
        1. Anonymous

          It also says on the Rupatadine Fumarate package insert that Ketoconazole increases in 10 times a sistemic exposure of rupatadine.

          Reply
          1. Buddy M.D. Post author

            You may still use Ketoconazole cream, since it has been given for topical application only.

            Fexofenadine is to control itch. Since you are already taking a medication for Cholinergic urticaria, this is not required.

  52. John

    Hello doctor, two months ago I had noticed a red pimple at the right side of the beginning of my scrotum sack nearly to the base of my penis, which was quite small. Now it still exists and it has gotten bigger over time. Approximately five months ago I had also noticed a similar red pimple on the left side of my scrotum area which was getting bigger and bigger( for about a month or so) but it suddenly disappeared.Now the same thing happens with the other pimple. It is important to mention that now the ”old”one is still noticeable but its tiny in size (that it can barely be observed). The same happened when the old one was big enough to be observed. The one that is big now existed but it was tiny! Is this some kind of cyst? Should i be worried or is this normal? Thanks!

    Reply
    1. Buddy M.D. Post author

      May be a cyst, that gets infected and grows in size. However, if you are sexually active, better get it examined.

      Reply
  53. Anonymous

    I am having some bumps on penis and testice, (10-12) from past 6-7 days. They are like large pimples, but red in color. They are increasing one by one. And its very itchy. Also my thighs are itching. It’s disturbing my sleep. What should I do?

    Reply
    1. Buddy M.D. Post author

      Appears to be an allergic reaction to some garments there, or may be you tried a new soap, powder. Start taking an anti histaminic pill twice daily. Let us know if it improves.

      If it doesn’t improve, you need to get yourself examined urgently by a dermatologist. It could be some skin condition like, scabies.

      You have to avoid scratching those bumps to avoid infecting them.

      Reply
      1. Anonymous

        Thanks doctor for your information.

        I showed it to a dermatologist, he asked about my hands also(it was not itchy only genital area, thighs, waist is itching). Then he prescribed

        Ebernet-M cream,
        i-Tyza 200 Capsules
        Teczine tablets.

        Reply
        1. Buddy M.D. Post author

          Your doctor is suspecting a fungal infestation there, and treating you accordingly. Hopefully, you’ll respond to the treatment.

          Reply
          1. Anonymous

            I am following those medicines, but still those bumps have not gone, and now my arms are itching (with some very tiny red rash on it, which are well distant). But the sleeping problem has gone. Is there any sleeping pills in those medicines? My doctor told me to come after 15 days. What should I do? Still 10 days remaining. Thank you in advance.

          2. Buddy M.D. Post author

            Yes, the medications are slightly sedating.

            Any reduction in the bumps there, or redness swelling around them? Any reduction in itching?

          3. Anonymous

            The bumps that were on the penis are flattened, but those which are on scrotum is still the same. No observable swelling. I want to mention one thing, when the first bump came I tried to pop it like a pimple. But only blood came out of it. Now almost all the bumps have tiny black point on them.

          4. Buddy M.D. Post author

            This looks either like a fungal infection or scabies. Your doctor is treating the condition as fungal. This may be scabies! Can you make the next visit to his clinic a bit early?

          5. Anonymous

            Its not possible to visit early. My father and mother also having same itching problem. They told it to a medical store ( didn’t show any doctor). The store owner gave a lotion “scaboma lotion” for them. It’s written on the lotion that it can treat scabies. Can I use that? Thanks again in advance.

          6. Buddy M.D. Post author

            Yes, you may. Use it as prescribed and written over the lotion packet. Also, do not apply it over any raw skin or penile mucosa.

  54. Andrew

    Ok so recently I first noticed this almost wart like bump on my right side of my scrotum (the sack itself), at first I thought it was a bump, but it sorta looked like a vein, it got pretty big for like 3 days and then went away as I went to the ER, but I went to the ER because my entire sack started to swell up which caused me to panic. So pretty much it started with the bump and then went away (I didn’t get to see if it was connected or moveable) then my entire sack swell and one testicle seemed to have enlarged (pretty firm too) and my other testicle started to shrink it seems. My swollen testicle (right) is painless but the shrinking (left) is where most of the pain is (about a 5/10 painscale). The sack swelling went down after a week, but my testicles (both) are big and small still (being almost 4 weeks now). Pain comes and goes. First doctor (ER visit) told me epipidymitis and mentioned hydrocele and not to worry (prescribed me levaquin) and second doctor (not a urologist) said possibly varicocele and didn’t prescribe me anything (I don’t have insurance btw). After the first week as the levaquin ended I had a painful stool passing and had a decent wipe of blood (bright red) and abdominal pains in left side. Blood stopped after first time, thought it could have been side effect of levaquin, but the pain has gone down mostly in that area (still seeing some red scabbish looking stuff not a lot at all but still there every time I poop, could be from healing though), still having the testicle issues though. Iv been quite stressed from all this so I’m sure some of that could come into effect somehow. Just trying to figure out why my testes are still very uncomfortable and experiencing this, granted still not as bad as the first week but still not completely gone. On week 4 now, and wondering if this will ever go away or if it’s something worse.

    Reply
    1. Andrew

      Sorry for the long post, just trying to be as descriptive as possible for you. I don’t have insurance so I’m really feeling kinda stuck and needing answers. Thanks again

      Reply
      1. Andrew

        ER visit was like 3 days into it and exactly as the sack started to swell and did a ultra sound and ruled out torsion btw and did blood test and urine. Said white blood cell count was high (because I was taking anti inflamants before hand) and also did a q tip swab down pee hole. They never called me back which implies they found nothing, yet symptoms still present after taking levaquin. Dont have the money to keep wasting doctors time, especially if they are just gonna tell me not to worry, but it’s effecting my ability to work so I really need answers. Again thanks

        Reply
        1. Buddy M.D. Post author

          Difficult to comment without actual examination.

          From the description, looks like an epipidymitis. There may be a hydrocele, accompanying it.

          Such condition may take time to regress and become normal. There appears nothing to worry.

          Reply
  55. Andrew

    Oh and a lot of gas to btw accompanied since the stool stuff started and still going on even though a lot of the pain, not all of the pain is gone from that area. I also pee like every 30 minutes or so. Haven’t had sex or anything in like 3 years now. Pain usually subsides when I’m laying flat on bed. Sorry for all these posts. You more then likely won’t have a real answer for me either but I figured I’d give it a try and see what you might think.

    Reply
    1. Buddy M.D. Post author

      Very likely to be epipidymitis, that’s troubling you. You are already on antibiotic treatment. May be the treatment needs to be prolonged. This commonly happens, as infections trapped in the sac are quite resistant.

      Reply
  56. Andrew

    I’ve been off treatment now for 2 weeks probably. Was on it for 10 days. Do you recommend I get back on it or should I just try to wait it out a little longer? Also do you know what usually causes these sort of things? I’d really like to avoid this again if it all possible. Also are my testes gonna stay in these different sizes or will they eventually go back to normal? My job has been asking me when I will be back and I keep telling them I don’t know cause my job is quite strenuous and kinda takes a lot of my testes in this condition. Thanks again!

    Reply
    1. Buddy M.D. Post author

      Whether or not to be on antibiotics cannot be said without a physical exam.

      You need to get it checked. Also, in cases of big sized hydrocele, a small surgical drainage of excess fluid is done to relive the patient.

      Reply
  57. Danyal

    hi doc. I’ve got couple of hard lumps on my scrotum.. its been a year and 1 goes down 2nd one comes up.. what should i do

    Reply
    1. Buddy M.D. Post author

      Likely to be sebaceous cysts. These may occur in young adulthood due to over active glands.

      Keep the area clean and dry. Avoid fried fatty food stuff. Consume more of fresh fruits and vegetables. Drink plenty of water. Wear loose cotton underwears to keep the area airy.

      The lumps are likely to subside with time, as you change your lifestyle.

      Reply
  58. kedar vaze

    hey there, I have a white cyst ,less than the size of pea. its white on the head with sm pus inside it..the skin around and the cyst is inflammable at times n it pains a lot..please guide me..

    Reply
    1. Buddy M.D. Post author

      Where exactly is it located.

      Try warm compress over it. This may help in draining out the pus filled inside it. You need to be gentle. Do not force drainage.

      Start using an antibiotic cream over and around the cyst, thrice daily. Mupirocin/ bacitracin may be used. If it doesn’t improve, you may need to see a doctor for drainage.

      Reply
  59. Will

    Hi; I’m 32, I’ve had small white bumps on my balls and underside of penis since I was 14. Never any pain and 3 long term girlfriends and now a wife for 7 years. Tested; as have all of my past relationships have been through the years. Never whatsoever any diagnosis of a VD.
    Every relationship notices it eventually and wonders about it but I don’t have an answer. My wife said I could have it “burned off”.

    Reply
  60. Raph

    Hello doctor I noticed a visible tiny lump on my right scrotum and was worried after a while say like a week it has gone from one lump to three thin although visible lumps still on the right scrotum it’s attached to the scrotum and moves round with it, it’s give slight discomfort when I try to press it like that sensation of somebody grabbing both scrotum with some amount of force but with a lesser grip and am really worried have been sexually active but use protections what can I do to get rid of them completely because it’s making me think a lot and it’s weighing me down

    Reply
    1. Buddy M.D. Post author

      These lumps need to be examined by a doctor for diagnosis. Though, they are likely to be cysts, examination is essential as you are sexually active.

      Reply
  61. Raph 123

    Doctor I have this itching on my penis and slight pain when urinating and it doesn’t occur always but the itching comes and goes also I had this rash kind of development around the base of my penis head which seems to look like am shedding some old skin when I scratch now it’s extended up to the penis cap what do about this to stop the itching, pain and rash like development because the base of the penis and the cap normally use to look smooth but now it’s very rough with the rash like growth I don’t if I should call those thing rash but for a lack of a better description I’d just use that

    Reply
    1. Buddy M.D. Post author

      Is it spreading?

      This may be contact dermatitis like condition. Caused by wearing condoms without lubrication, some new soap or cream you used over the area.

      You may try 1% hydrocortisone cream over the affected area once daily for a week. Be cautious not to over use the cream.

      Reply
      1. Raph 123

        No it’s not spreading it’s just around the base of the penis cap and slightly on the head and itches every once in a while besides that and slight pain during urination once in awhile though maybe the condoms might actually be responsible what do u think Doc??

        Reply

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