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Atheroma of scrotum, testicles and penis
Last reviewed: 23.04.2024
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Atheroma of scrotum
Atheroma of the scrotum is a fairly common disease of the sebaceous glands in this area of the body. Atheroma is most often localized in those places where there is a large number of sebaceous glands and hair follicles. This cystic neoplasm belongs to the category of benign, but on the scrotum it causes obvious discomfort and often painful sensations. The sebaceous gland cyst is a typical consequence of the accumulation of fatty secretion and plugging of the outflow duct. Especially characteristic are such cysts for skin areas subjected to regular mechanical friction - the so-called collar and trouser zone.
Atheroma of the scrotum is a capsule containing a secretory thick liquid. In the inguinal zone, atheromas can be multiple, on the scrotum is often diagnosed atheromatous - small cysts located throughout the scrotum. According to statistical data, cysts of the scrotum of the scrotum are determined in 20-25% of men, and such small atheromas are prone to autopsy, but also to prolonged recurrence. The fact that atheroma of the inguinal zone is more often diagnosed in the representatives of the strong half of mankind is explained by the quite natural reason - the male sex hormone - testosterone, the level of which must be higher a priori in men. In addition, in the area of the scrotum, a typical phenomenon is increased sweating, which in turn only activates the process of blockage of the outflowing ducts of the sebaceous glands. The third provoking factor can be considered mechanical friction of the laundry or non-observance of the elementary rules of personal hygiene of intimate areas of the body.
Atheroma of the scrotum is predominantly found in male patients aged 35-30 years, cysts are usually small and rarely reach 1 centimeter in diameter.
Clinical symptoms of scrotum atheroma:
- Painless small subcutaneous compaction.
- Multiple cysts.
- Dense adhesion with the skin of the scrotum.
- The presence of a small pigmented point in the middle of the seal.
- Slow development atheroma.
- Propensity to inflammation, infection.
- The risk of developing inflammation up to a vast abscess of the scrotum.
- Suppurated atheromas are accompanied by visible reddening of the skin, pain.
- The possibility of self-disclosure of atheroma with the expiration of pus and the parallel exit of a small cystic capsule.
All atheromas of the inguinal zone, including the cyst of the sebaceous glands of the scrotum, are subject to examination by a dermatologist, urologist, venereologist. This need is dictated by the extreme vulnerability of the groin, the risk of suppuration, the development of infection, and the fact that quite often the atheroma can be similar to other, more serious cystic scrotal tumors. Timely diagnosis and adequate treatment in the initial period of atheromatous formation makes it possible to cure this disease rather quickly, and sometimes to avoid surgical intervention.
Atheroma on testicles
Atheromas on the testicles are multiple small cysts, which in medical terminology have a clear definition - atheromatosis.
The reason for the appearance of athere in this zone is due to the presence of a network of sebaceous glands that develop from the epithelial cells of the hair follicles. All small testicles cysts are directly connected with bags of the smallest hairs. Cysts are located close to the skin, clogging the outflow ducts, the opening of the follicular outlet. Such frequent localization is due to the fact that one to five sebaceous glands can be located around one hair, each of which accumulates a lipid secret, as a result of which the opening becomes obturating. In addition, the area of the scrotum and testicles is included in the list of so-called sebaceous zones of the body (sebaceous zones), so atheromatous rashes can be referred to as seborrheic cysts or Fordis granules.
Atheroma on testicles or Fordish granules are benign cysts, a variant of the norm, not a pathology. They are not accompanied by painful sensations, are not transmitted from one partner to another at intimate contacts, and can be considered a cosmetic defect, nothing more. Most often, the granules appear in the pubertal period, during adolescent puberty, possibly due to the increase in testosterone levels, however, the etiology of testicular atheromatosis has not yet been elucidated.
Small cysts rarely reach large sizes and are more than 1 centimeter in diameter, but often cover the entire scrotum in the form of white dots.
As a rule, such cysts do not require specific treatment, only large atheromas are subject to immediate removal, moreover, the procedure is carried out together with the plastic of the scrotum skin. The operation is performed under local anesthesia and does not affect sexual functions, post-operative scars dissolve within six months.
It is not permissible to extrude the cysts (granules) or to injure the testicles independently, as this entails the risk of infection, the development of a hematoma, possibly an abscess. If the atheromatous rash is very small, it is prone to inflammation, but this process goes on alone, it is enough to follow the rules of personal hygiene.
Urologists and dermatologists note that testicular atheromas are able to pass independently at the age of over 35 years, apparently, this is explained by the extinction of the activity of testosterone production and the unblocking of the sebaceous glands. If the patient insists on more aggressive than conservative methods of treatment, it is possible to perform electrocoagulation or atheroma removal with a laser. All other operative methods are determined only by the physician according to the clinical symptoms and the patient's health condition.
Atheroma on the penis
On the penis most often diagnosed multiple small atheromas - atheromatosis. The cyst of the sebaceous gland of the genital organs is a benign neoplasm developing against the background of the obturation of the outflowing duct. Atheroma on the penis is a capsule with a fibrous-ferruginous wall and contents - detritus (epithelial cells, lipid elements). The cyst has clear boundaries, round in shape, in color - white or yellowish hue. The sizes of multiple cysts are small, but they often cover the entire penis and give it a rather unaesthetic appearance. A theromatosis (atheromatosis) develops atherosclerotic type and resembles atherosclerotic plaques with a fine-grained structure (dentrites). The contents of the cysts are formed as a product of the breakdown of protein, fatty elements, as well as collagen fibers and cholesterol crystals. Often small atheromas resemble papules, so they can be called "pearly papules" of the penis, such rashes are characteristic of the zone of the coronary groove of the penis head. Any kind of atheromatosis on the penis is considered a variant of the norm, does not pose a threat to health, is not transmitted from partner to partner, that is not dangerous at sexual contacts, however this cosmetic defect not only worries the patient, but also is prone to inflammation, infection. The only clinical symptom of atheromatous papules can be itching, irritation of the skin of the penis in case of mechanical trauma when wearing tight underwear or with active sexual contact.
Differential diagnosis of atheroma of the penis is carried out with such diseases:
- Peyronie's disease - thickening on the penis, compaction in the form of a tumor, scar.
- Lymphangitis.
- Smegmolites.
- Allergic reaction (contact type of allergy).
- Dermatitis.
- Adenoma of the sebaceous gland.
The detection of large, large atheromas on the penis is considered a surgical rarity, therefore, as a rule, the sebaceous cyst in this zone is not subjected to surgical treatment. Atheromatosis is not a health threatening disease, such conditions only require systematic compliance with the rules of personal intimate hygiene. Volumetric, multiple atheromatous cysts covering the entire penis and delivering discomfort during intercourse can be removed by electrocoagulation. Diagnosis and choice of a method of treatment for atheroma should be entrusted to the urologist, dermatovenerologist, who will select for the patient an adequate method of health.