Wen on the scrotum are essentially skin atheromas, that is, cysts of the sebaceous glands. They are formed due to blockage of the gland ducts and, as a result, the accumulation of sebum, which cannot reach the surface of the skin.
They look like yellow balls on the skin of the testicles, quite dense to the touch, mobile and painless in the absence of an inflammatory process.
Our clinic has been specializing in the removal of scrotal skin fats for many years. Our doctors have developed a method of low-traumatic intervention, in which atheromas on the testicles are removed completely and almost without a trace.
Wen of the genital organs is not only an unpleasant cosmetic defect that interferes with sexual life. They are often prone to inflammation and even the formation of pus in the area of the clogged sebaceous gland.
How to get rid of wen on the scrotum
This can be done during the patient’s initial visit to the clinic.
After examination and diagnosis, the man donates blood to the hospital complex, which is ready in 20-30 minutes thanks to express diagnostics.
Next, each element is anesthetized using infiltration anesthesia so that there is no sensation during removal.
The next stage is the immediate removal and application of a bandage or suture if the atheroma was large.
Alarming symptoms of the disease
An experienced doctor is able to provide assistance at any stage of the disease, but the best results are achieved with timely treatment by the patient. Indications for removal are the following symptoms:
- A sharp increase in size;
- Painful sensations on palpation;
- Purulent discharge;
- Difficulty urinating;
- Change in shape and color;
- Discomfort when in contact with linen.
Additional characteristics include increased sweating, hormonal imbalance, and decreased immunity. After an initial examination and analysis of factors, a number of comprehensive measures aimed at recovery are carried out at the clinic.
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- Treatment of surgical diseases
- Treatment of intestinal pathologies
- Treatment of skin surgical pathologies
- Treatment of bedsores and necrosis
- Treatment of parasitic diseases
- Treatment of inflammatory processes of soft tissues
- Treatment of diseases of the musculoskeletal system
- Diagnosis of surgical diseases
Methods for removing sebaceous gland cysts in the skin of the scrotum
- Surgical - dissection of the gland shell with a scalpel, removal of fat, pus, capsule, suturing.
- Electrosurgical and radio wave - dissection of the skin over the wen with an electric knife, removal of the contents of the atheroma, destruction of its capsule and duct to prevent relapse. Or simply evaporate the atheroma when it is small. Suturing the wound is necessary only for large elements.
- Laser removal - dissection of the gland capsule with a laser or laser vaporization of small elements to form a sterile protective crust.
The choice of technique is up to the doctor, taking into account, of course, the wishes of the patient. Much depends on which method the doctor is better at. In our clinic, doctors more often use electrosurgical, radio wave and laser removal of sebaceous gland cysts, because they go away without bleeding, the wound after manipulation is absolutely sterile due to the high temperature of the laser and electrode, there is often no need to apply sutures, which facilitates further management and care wound.
Clinical picture
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How to remove a wen on the scrotum with a laser
Laser destruction is the best choice for small clogged sebaceous glands. Allows you to get rid of atheroma of the scrotum without a trace, without incisions, by evaporation with a laser beam. It is performed under local anesthesia. After manipulation, sometimes you don’t even need to apply a bandage; shading with an antiseptic solution is enough.
How much does it cost to remove lipomas on the scrotum with a laser? Depends on the size of the element. The price starts from 1000 rubles. For multiple microatheromas, the cost is calculated comprehensively.
The only disadvantage of laser removal is the impossibility of histological examination of the removed material, because the atheroma evaporates completely.
If histology is necessary, we choose radio wave and electrosurgical removal.
Main symptoms of testicular cancer
To begin with, let us briefly list the main symptoms of testicular cancer: compression of one or both testicles; feeling of heaviness in the scrotum area; unexpected accumulation of fluid in the scrotum; dull pain in the groin area; a feeling of aching pain in the lower abdomen; pain in one or both testicles; a feeling of unusual discomfort in the testicles; noticeable increase in testicular size; compaction in the testicle.
Let's look at some of the symptoms of testicular cancer in more detail to get a more complete picture of the signs of the disease.
Removal of a sebaceous gland cyst on the scrotum using an electrocoagulator
- For small atheromas, a ball electrode or electric knife is used, which, in coagulation mode, completely evaporates the cyst with the formation of a protective crust.
- If there are large wen of 1 cm or more, then they have to be removed by incising the skin over the atheroma and removing its contents. Next, the gland capsule is coagulated and 1-2 sutures and an aseptic dressing are applied.
- When taking biopsy material for histological examination, the atheroma is completely excised using a loop electrode and sent to the laboratory for analysis.
How much does it cost to remove atheroma of the scrotum with an electric knife? Small elements - from 500 rubles. cyst excision – 2500 rub.
After removal of the wen, careful wound care is necessary to prevent the development of inflammatory complications:
- Do not wet the removal area for at least 7 days
- Do not engage in sexual activity or vigorous physical exercise, which injures the crusts and contributes to the accumulation of sweat on the skin of the scrotum.
- Don't tear off the crusts
- Treat the crusts with fucorcin solution 2 times a day or apply bandages with antibacterial ointment solutions to the wound
- Apply a sterile protective dressing
- At the first signs of inflammation (redness, swelling, pain, pus), immediately contact the clinic’s doctor on duty.
If you follow these rules, you can get rid of wen on the skin of the scrotum without any problems or consequences, with an excellent cosmetic effect. Even after removing large sebaceous gland cysts with suturing, barely noticeable linear scars ultimately remain, which over time are difficult to detect in the folds of the skin of the testicles.
What are spermatic cord lipomas and why are they dangerous?
The content of the article
The spermatic cord is a complex organ, 15-20 cm long, located in the groin - inside the scrotum in men. The cord stretches from the inguinal ring to the top of the testicle and consists of several structures: the vas deferens, arteries and veins of the testicle and vas deferens, lymphatic vessels and nerve plexuses. The organ performs a reproductive function by connecting the testicles, which produce sperm, and the penis.
Statistics indicate that neoplasms in the spermatic cord are registered less frequently than others. Moreover, in 70% of cases the tumor turns out to be benign. Doctors consider lipoma to be one of the most popular and at the same time most predictable types of tumor affecting the spermatic cord.
Lipomas, called wen, can develop on any part of the human body, including in the area of the spermatic cord, which contains loose connective tissue. Neoplasms are benign tumors, but without proper control or treatment they can cause a lot of problems for their carrier.
From a tumor of the spermatic cord the following can develop: myoma and fibromyoma, sarcoma (cancer), myxoma, dermoid, lymphangioma. There is no point in describing these pathologies - they all have unpleasant consequences and require surgical treatment, therefore, having discovered a neoplasm, you should not allow complications to develop.
Where to remove a wen on the scrotum in Moscow
It is best to do this in a clinic specializing in outpatient urology, where all the necessary techniques and equipment are available.
Doctors with experience in removing such formations will perform the procedure quickly, painlessly and, if possible, without leaving a trace.
The Private Practice clinic paid close attention to the aesthetic side of the issue, so that the removal field did not leave any rough marks on the skin of the scrotum. Plus, the technique used does not require hospitalization of the patient and allows you to get rid of wen on the skin of the testicles even on the day of treatment.
Causes
The reasons for the formation of lipomas are unknown. This is not excess weight - wen occurs in both overweight and thin people.
According to one version, lipomas appear due to metabolic disorders due to insufficiency of enzyme proteins that regulate fat metabolism. This disorder is associated with chromosomal defects. Duplication of the long arm of chromosome 12 leads to a failure in the synthesis of TAG lipase. It is this enzyme that is responsible for the breakdown of fats into water and energy.
Dermatovenerologist Sergey Gennadievich Lenkin examines a clinical case of a patient with wen on the scrotum
Provoking factors:
- Hormonal changes. A lipoma that appears in childhood can resolve on its own during puberty.
- Diabetes.
- Excess cholesterol in the blood.
- Pathologies of the kidneys, liver, thyroid gland.
- Excess or lack of nutrients in the body.
- Unbalanced diet.
If there is a genetic predisposition, the above factors can provoke the appearance of lipomas in an adult. In some men, they occur due to physical overexertion in areas of greatest pressure. An example of such a situation and recommendations from doctors from the site https://sprosivracha.com/questions/123005-lipomatoz:
How to remove wen in the skin of the scrotum at home
It’s better not to do this on your own. We know of cases where people try to squeeze out atheromas, pierce them with a needle or a knife. All this usually led to serious inflammatory complications and suppuration. There is a risk of losing the testicle when bacterial microflora spreads to its membranes.
Such experiments have two outcomes:
- In the best case, after inflammation, the wound heals, but atheroma relapses, that is, the wen appears again because the gland capsule remains in the skin, and sebum continues to be produced.
- The patient is admitted to the hospital with purulent melting, phlegmon of the scrotum and the risk of testicular amputation.
At the initial stages of the inflammatory process, after self-removal of wen, men turn to us. Most often, we can help them at the outpatient stage. Antibacterial therapy is prescribed, pus and the atheroma itself are removed. In severe cases, it is necessary to send the patient to the hospital.
Diagnostics
The symptoms of spermatic cord lipoma are similar to other urological diseases: lymphadenitis, varicocele, cancer, so the diagnosis can only be clarified by undergoing diagnostics.
- Palpation.
Decent-sized tumors can be palpated. To the touch, the tumor is defined as a heterogeneous tissue formation. Men discover large lumps on their own before seeking medical help. But with palpation it is impossible to determine the type of tumor, so additional studies must be carried out. - Ultrasound of the scrotum
. This is the primary examination method - it is inexpensive, accurate and painless. Ultrasound is necessary to determine the size of the tumor and its exact location. - Dopplerography
. Ultrasound with a Doppler sensor showing the quality of blood flow. On an ultrasound, the wen is visible as a knot-shaped formation. - X-ray of the scrotum
. Inexpensive, but hazardous to health method. During the examination, soft x-rays are used, but repeated diagnosis in this way in the next few months is contraindicated. On an X-ray, a lipoma appears as a bright spot of regular shape, since fat does not absorb X-rays well. - Diaphanoscopy.
Transillumination helps to exclude hydrocele of the spermatic cord, which is much more common than lipoma; - CT, MRI
. If there are any doubts about the diagnosis, the urologist will send you for an MRI or CT scan - such an examination involves radiation and costs several times more than an ultrasound. - Biopsy.
If cancer is suspected and the diagnosis cannot be made using other means, tumor tissue is removed with a thin needle for careful examination under a microscope. If the lipoma degenerates into cancer or is initially an oncological tumor, atypical (modified) cells are found in tissue samples taken for biopsy.
In addition to instrumental methods, you need to undergo tests. Laboratory tests include: general blood and urine tests, blood biochemistry tests. These tests allow us to screen out other diagnoses associated with inflammatory processes and infections.
Prevention of atheromas on the genitals in men
It is almost impossible to regulate the process of sebum formation and the patency of the ducts of the glands of the skin of the scrotum. Often, the appearance of wen has genetically determined factors, such as an increased content of androgen receptors on the surface of the sebaceous glands.
Regular hygiene of the genital organs, normal nutrition rich in vitamins A, D, C, and B are of great importance for the prevention of recurrence of atheromas.
In severe cases, our doctors select drugs based on retinoids to reduce the activity of the sebaceous glands and normalize the keratinization of the epithelium of their ducts. This helps reduce the appearance of new elements, but has certain side effects.
Spermatocele: definition
A spermatocele (seminal cyst) is a cavity filled with a clear or yellowish fluid. Most often, this pathology is detected in boys during the period of growing up and puberty, as well as in men over 40. In both cases, this is due to age-related changes occurring in the body. A congenital cyst may form. This is a minor malformation that can result from pregnancy complications in the mother.
Pain and increase in size of the scrotum
The main symptoms of testicular cancer are pain and enlargement of the scrotum.
Pain may appear in the scrotum area; it can be either aching or dull. Characteristic pain in the lower abdomen, which begins with varying strength, may not last long.
Sometimes heaviness appears in the lower abdomen. Pain is observed in the affected testicle. In addition, it is necessary to pay attention to uncharacteristic back pain. They can also be a symptom of developing testicular cancer.
When the cancer has already progressed, the scrotum swells and becomes asymmetrically enlarged.
Fatigue, weight loss, low-grade fever
Testicular cancer is characterized by signs such as a slight increase in body temperature, weakness, deterioration in emotional state, and depression. The patient's appetite decreases, dizziness may appear, and fatigue increases sharply. A feeling of fatigue appears even after minor exertion. Weight is decreasing. The temperature stays around 37.5, sharp jumps are usually not observed.
