I have a painless red bump on my scrotum. What could be the cause?

Hello,

Welcome to icliniq.com.

I understand your concern.

I have read your query and examined your picture (attachment removed to protect patient identity). From your description and picture, it seems like you have steatocystoma multiplex (a type of sebaceous cyst) or molluscum contagiosum. The pictures do not give me an exact idea because a sebaceous cyst is soft in consistency whereas molluscum is hard. If it is a sebaceous cyst, you should get it removed. Surgical excision by needling or radio frequency cautery is the treatment of choice. Molluscum contagiosum is caused by a virus and this lesion presents with a central umbilication, a depression similar to that of the navel. A white body is present in the bump. It is a contagious and sexually transmitted infection which can spread and form new lesions. The treatment plan will be needling to extrude the material inside and TCA cautery. You will need to rule out immunosuppression by doing certain tests like HBsAg, anti-HCV, VDRL, HIV (human immunodeficiency virus), and blood sugar.

I hope this information will help you.

Thanks.

Hello,

Welcome back to icliniq.com.

I understand your concern.

I have read your query and examined your picture (attachment removed to protect patient identity). Considering your description of the texture, it could be an angiokeratoma of Mibelli. Angiokeratomas are typically asymptomatic, two to five millimeters, bluish-red papules with a scaly surface, located on the scrotum. Usually, they do not require any treatment. If required, then locally destructive methods including radiofrequency cautery, excision, cryotherapy, or laser therapy may be used. In your case, since you are young and have a solitary lesion it created the doubt of a sebaceous cyst or molluscum. But the history of a soft lesion which feels like blood, allows me to arrive at angiokeratoma as the diagnosis. It can be confirmed by skin biopsy.

I hope this information will help you.

Thanks.

Hello,

Welcome back to icliniq.com.

I understand your concern.

It will not spread, but it is good to get it removed, by one of the methods I have mentioned earlier. It is not an infectious disease. It is neither an STD nor a contagious disease. Radiofrequency cautery, it can be removed in a single sitting. In this procedure, the base is anesthetized and the lesion is cut off from the base, leaving a small mark that rarely bleeds. It will heal well after applying antibiotics locally.

I hope this information will help you.

Thanks.