Suggest Treatment For Cysts In The Scrotum

Posted on Sat, 5 Nov 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 5 Nov 2016 Answered on

Mon, 28 Nov 2016 Last reviewed on

Question : Hi, I have a couple of Cysts on my scrotum, they have been their for years now and were painless and not growing that much until yesterday when one of these started causing some pain when touched and turned slightly red. I think it's about to burst, what should I do?

Answered by Dr. T Chandrakant (30 minutes later)

Brief Answer:
Please post clear and focused photographs

Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male/22 - couple of cysts on scrotum - for years - were painless and non-progressive - one started causing pain yesterday - turned slightly red - about to burst - past history of warts on hands - did not recur after treatment - wants to know what to do...

I would advise your the following:
Please post fresh picture which are clear and focused.
Apply liquid povidone iodine locally.
Do not fondle/pop out.

The most probable cause can be as per the history you have provided:
Multiple sebaceous cysts, one of them getting infected.

Awaiting for photos.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (15 hours later)

Hello Doc,

It's really hard to click pictures of the area where the cyst is, I've attached a new photo. I've also attached a old photo when the cyst was new.

My question are:

What should I do to stop irritation?
When should I go for a dermatologist to get my surgery done, today only or wait till the cyst is cooled down?
How long would the surgery take?
Also someone suggested it could be Calcinosis cutis, is it that?

Answered by Dr. T Chandrakant (7 hours later)

Brief Answer:
As detailed.

Detailed Answer:
Thanks for your feedback and pictures.
These are sebaceous cysts and one them have got infected.
To answer your queries:
Part of the treatment is already suggested.
Consult Dermatologist asap as you may need prescription based antibiotics and anti-inflammatory medicines.
He may have an option to operate even earlier or when the conditions are optimal.
Calcinosis cutis is rarest of the conditions, very hard.
I hope this answer helps you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (19 hours later)

Hello Sir,

Thank you for your time and advice, it means a lot.

I went to see a dermatologist, he looked at the cysts. I have steatocystoma multiplex scrotum. He gave me antibiotics medicine and ointment to make the infection go away.

He suggested that my cysts are small and I should leave them as they are. Since I'm only 22 and I've decided I'll go with the surgery.

I've few questions:

Are there chances of these cysts coming back after surgery?
What surgery should I prefer?
Can I do something to reduce chances for any more cysts?

Regards

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
as explained in details.

Detailed Answer:
Thanks for your feedback and additional questions:
Are there chances of these cysts coming back after surgery?
> The cysts that are removed in toto will never recur. There is a very small chance that the new cysts can come up.

What surgery should I prefer?
> As per my my knowledge and practice, excision of the individual cysts should suffice and curative.

Can I do something to reduce chances for any more cysts?
> Regular cleaning of the scrotal skin so that the ducts of the skin gland are not blocked- no more appearance of the cysts.

I hope this answers your query.
Please feel free to ask for further relevant further queries if you feel that there is a gap of communication.

Above answer was peer-reviewed by : Dr. REMY KOSHY