What is the condition of small lump on testicle?

Testicular pimples may be symptoms of diseases such as sebaceous cysts, folliculitis, genital warts, epididymitis or testicular tumors. It is recommended to seek medical treatment promptly for a clear diagnosis and avoid self-treatment.

1. Sebaceous cyst

A sebaceous cyst is a benign mass formed by the accumulation of secretions due to blockage of the sebaceous ducts. It appears as a small, painless pimple on the surface of the testicular skin, which is hard and movable. It may be related to insufficient local cleaning or strong hormone secretion. Usually no special treatment is required. If redness, swelling and pain occur due to secondary infection, mupirocin ointment or oral cefuroxime axetil tablets can be used as directed by the doctor. If necessary, surgical removal can be performed.

2. Folliculitis

Folliculitis is caused by bacterial infection of hair follicles and appears as red papules with pus heads that may be itchy or tender. Commonly seen after excessive sweating or irritation from friction with clothing. It is necessary to keep the perineum clean and dry every day and avoid scratching. You can follow the doctor's advice for topical fusidic acid cream or oral azithromycin dispersible tablets. In severe cases, infrared irradiation treatment is required.

3. Genital warts

Genital warts are a sexually transmitted disease caused by human papillomavirus infection. They appear as light red papules in the early stage, and may enlarge into cauliflower-like shapes in the later stage. It is contagious and prone to recurrence. After diagnosis, sexual contact must be avoided, and imiquimod cream or cryotherapy may be used as directed by the doctor. Stubborn cases may require photodynamic therapy combined with interferon injection.

4. Epididymitis

Epididymitis is mostly caused by bacterial retrograde infection. In addition to local induration of the testicles, it is often accompanied by scrotal swelling, fever, and pain during urination. In the acute stage, you need to rest in bed and elevate the scrotum. Follow the doctor's instructions to take levofloxacin tablets or cefixime capsules, combined with magnesium sulfate wet compress to relieve symptoms. Those with chronic and recurrent disease need to investigate for urinary system malformations.

5. Testicular tumors

Testicular tumors are mostly painless solid nodules that are hard in texture and grow rapidly, and may be accompanied by a feeling of distension or abdominal pain. Diagnosis needs to be confirmed by ultrasound and tumor marker examination. Radical orchiectomy or retroperitoneal lymph node dissection is selected based on the pathological type. Chemotherapy drugs such as cisplatin injection may be required after surgery.

You should choose loose and breathable cotton underwear every day to avoid prolonged sitting and local high temperature environments. Pay attention to the changes in the shape of the testicles when taking a bath, and avoid scrubbing with irritating lotions. If the pimple continues to grow, ruptures, or is accompanied by symptoms such as fever, you must seek medical attention immediately. Appropriately increase the intake of antioxidant foods such as broccoli and tomatoes in the diet, and limit spicy and greasy foods.