There is a lump in the scrotum

Many people have had pimples in their scrotum. This problem is likely caused by sebaceous cysts. If you have sebaceous cysts, you must seek treatment in time to ensure your genital health and avoid further deterioration of the condition. Below, we will introduce the causes, clinical manifestations and treatment methods of sebaceous cysts in detail!

1. Causes

The cause of the disease is the obstruction of the sebaceous gland duct, which leads to the obstruction of sebaceous gland excretion and congestion. The obstruction of the sebaceous gland duct is mostly caused by dust blockage and bacterial infection.

2. Clinical manifestations

Sebaceous cysts protrude from the surface of the skin and are prone to occur in areas rich in sebaceous glands, such as the scalp, face, chest and back, and most grow slowly. When there is no infection, patients generally have no conscious symptoms. The swellings are spherical, single or multiple, and vary in size, from a few millimeters to nearly 10 centimeters. They are of medium hardness, elasticity, protruding from the skin surface, adhered to the skin, difficult to move, smooth surface, no fluctuation, and a needle-sized umbilical foramen-like opening in the center, which is blue-black and shaped like a needle-head acne. Squeezing can produce tofu dregs or noodle mud-like contents, which are sebum and broken sebaceous gland cells, often with a rancid smell. Sebaceous cyst cancer is extremely rare, but it is easy to cause secondary infection. If it is complicated by infection, it may cause redness, swelling, heat, pain and inflammatory reaction. The cyst can rupture under external force and temporarily disappear, but it will form scars and is easy to recur.

3. Treatment

The most commonly used radical cure is surgical excision under local anesthesia. Sebaceous cysts are small tumors on the body surface. The surgery is simple and can be performed in an outpatient clinic. They should be removed as completely as possible without leaving any cyst wall, otherwise they are prone to recurrence. Since sebaceous cysts often occur on the face, cosmetic effects should be considered during surgical excision. Small incisions can be used to remove sebaceous cysts on the face and neck. The skin is sutured without tension to avoid the growth of incision scars and achieve a beautiful effect.

Antibiotics should be used appropriately if there is infection before surgery and to control inflammation after surgery. Sebaceous cysts with infection should be surgically removed after the infection is controlled. For those with uncontrolled local infection or abscess, incision and drainage should be performed.

CO2 laser and ion minimally invasive methods are considered to be good methods for treating cysts without concurrent infection. They are particularly suitable for the treatment of facial sebaceous cysts due to their simple operation, small incision, little bleeding, no need for sutures, almost no scars, and low recurrence rate.