Sebaceous Cysts as Tiny White Pappules on Scrotal Skin

Q: I have few white bumps on my testicles and I’m worried. I’m 14 years old virgin. There are some bumps, if popped, white pus comes out like a liquid solid form. Others are too small to pop. What can I do to treat them?
-By: Andy

Reply:
 

You have tiny sebaceous cysts on your scrotum. The white colored pus like substance is sebum. These are extremely common and normal in your age group. The hormonal changes in your age are partly responsible for them.

Management

  1. Squeezing or popping them is not a good idea. This will only infect them and complicate the condition.
  2. Leave them as such. They will gradually subside on their own. Meanwhile, just keep the area clean and dry.
  3. Wear loose cotton underwears. Don’t let moisture get trapped in the groin area.
  4. Eat plenty of fresh fruits and vegetables.
  5. Avoid eating oily, fatty and heavy foods. They are bad for your skin health.

Take Care,

Buddy M.D.

 

Medical Advice (Q&As) on “Sebaceous Cyst of Scrotum Present as White Bumps

  1. ronnie

    I’m 43 years old and I have a very large bump or cyst on my balls. At first it was little and white pus would come out with foul smell. But keeps getting bigger and now nothing will come out of it at all. Is this something I should go and get cut out. Please reply thanks.

    Reply
    1. Buddy M.D. Post author

      Not an emergency, unless you have pain or tension over the cyst. You may let it be and observe it closely. Cysts are likely to drain by themselves in most of the cases.

      Reply
  2. Mike

    It started out as a small tiny white bump on my scrotum and at first I thought it was just a pimple and like an idiot I popped it. Solid white like a small pimple would be like and I thought that’s it. Then a day or two later, it came back in the same spot but a little bigger and so I popped it again and again so on and so forth. Now it is a little big bump. It’s solid. I don’t want to try to pop because it hurts now to try to pop it. It doesn’t bother me, it doesn’t itch, it doesn’t cause pain, it’s just there. I can touch it. It won’t hurt unless I squeeze it really hard. It’s a solid white bump and I’m just really worried it could be something bad. It started out as the small one shortly after I started shaving, before I started popping it.

    Reply
    1. Buddy M.D. Post author

      Sounds to be a sebaceous cyst on the scrotum. These are typically painless, unless they get infected. They are filled with a semi solid white fluid called sebum.

      Does the bump appear to have an opening to outside? If yes, try repeated warm compress over it. This would soften its upper surface and help in draining it.

      If there is no opening, you need to go to a surgeon for surgical drainage.

      The cyst needs to be drained completely. If it is not drained, the material inside it may get infected and cause pain.

      Also, these cysts have a tendency to occur. Sometimes, they are surgically excised out to prevent recurrence.

      Reply
  3. Sandy

    Sex: Male
    Age: 29

    I have small 6mm diameter lump (Suspected as sebaceous cyst-identified an year back) on my scrotum. It’s white in color, hard to touch moving freely. Recently found another 2 of them on the sack very small ones, which are white in color as well.
    Are these harmful? Any medication required?

    Recently had an surgery on my back which was infected sebaceous cyst. Currently using Zemetril 500mg tablet.

    Reply
    1. Buddy M.D. Post author

      No these are not harmful. As such they need no medication.

      However, sometimes they grow in size or get infected/ injured. To avoid this, you may consider surgical removal of the bigger lumps.

      There are no medical treatments available for them.

      Reply
  4. David Lively

    I have a small white nodule or pimple or something I
    On my scrotum. It doesn’t hurt but I
    I want it to go away I use clobetesol cream for a scalp condition but it hasn’t gone away! It is about a Sixteenth of an inch in size

    Reply
    1. Buddy M.D. Post author

      Likely to be a sebaceous cyst. Clobetasol cream won’t work on it.

      Most of such cyst regress on their own with time. Nothing needs to be done. If removal is desired for cosmetic reasons, surgical excision is the safest way.

      Reply
  5. Jose

    I have small to large and grouped white bumps on my scrotum, top shaft of my penis only near my crotch, all over the bottom of the shaft, and all over my pubis only up to my waist, and have had them for over 23 years now. I’ve had 3 different doctors tell me it’s normal. But seeing how there’s no pictures or exact description of what I have on any search, website, or forum I know it definitely isn’t. The biggest thing is where these bumps are, that range from the tiniest lump to a gigantic pimple or ingrown hair, is that everyone of them is at a hair follicle/have a hair coming out of them. They itch horribly until the hair is forced/pushed/escapes out, and then the itch is dropped by at least 75 percent of what it was, and then if plucked it gives the biggest feeling of relief and no itch. But only lasts at most a few days. Sometimes there are multiple hairs coming out of I have literally plucked one and before 24 hours have passed I pull out the one that has already grown back. Most, if plucked, are on average of the amount of hair out of the skin compared to the amount that was inside the bump and body, a 10 percent exposed to a 90 percent length still inside. I can’t estimate the thousands of these I have. And again, they are only located on my scrotum, the small place of skin from scrotum to thigh, all over the pubis patch from the penis to the waist, little bit on top of the penis shaft, and many all over the bottom. And, EVERY SINGLE ONE HAS A HAIR COME OUT OF IT.. Over as many years as it has been there are some that are much bigger then others, which is what helped distinguish time frame, but some literally take a year (sometimes more, had a large one I plucked out every other day for at least 5 years, then it was almost 3 years until it showed back up, and now its about every 4 to 5 months it grows back) to grow out after plucked, and there’s also ones that were the opposite, where they grew at what I was considering a normal hair growth time frame and all a sudden after being pulled they grow faster exponentially. On the edges at the crevices, if I don’t trim and/or shave the area, they grow into each other some what and create a larger/merged bump/mass and itch so much worse. So please let me know what it is. It’s nothing I’ve seen defined on the Internet and 3 doctors have told me it’s normal, and it definitely isn’t.

    Reply
    1. Buddy M.D. Post author

      All hair follicles are coupled with sebaceous glands down there, which nourish them and help them grow. Yuor sebaceous glands appear to be very active in that area. Difficult to say why. Likely to be hormone related.

      Reply

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