How to manage small white bumps on the scrotum

Some male patients develop small white bumps on the scrotum, which not only cause itching but also lead to significant embarrassment. So, how should one manage white bumps on the scrotum?

How to Manage White Bumps on the Scrotum

Small white bumps on the scrotum warrant a visit to the hospital for further evaluation to determine the underlying cause. Sebaceous gland adenomas may appear as tiny, scattered, papular lesions on the scrotum; their size, number, and appearance typically remain stable over time, with no associated local pain, redness, or discharge. When the scrotal skin is gently stretched, these small white spots become especially prominent—no specific treatment is required in such cases. In contrast, genital warts (caused by human papillomavirus) often present as white, granular, exophytic growths; their size, number, and extent may progressively increase as the condition advances.

Additionally, genital warts may be accompanied by local bleeding, tenderness, or abnormal discharge. Symptoms may worsen following unprotected sexual contact; in such cases, an acetic acid whitening test or biopsy of a locally excised lesion may be necessary to confirm the diagnosis. Epidermoid (sebaceous) cysts may manifest as solitary, white, dome-shaped papules without significant pain; gentle pressure on the surface may express a white, cheesy material. If the cyst is large, surgical excision may be considered.

Male patients should maintain good hygiene of the genital area in daily life—washing the area regularly with warm water—and wear loose-fitting, 100% cotton underwear. We hope this information is helpful to you!