What to do if there are white spots on the scrotum

White spots on the scrotum can be treated through daily cleaning and care, topical drugs, oral drugs, laser treatment, surgical excision, etc. White spots on the scrotum may be caused by ectopic sebaceous glands, fungal infection, eczema, vitiligo, genital warts, etc.

1. Daily cleaning and care

The skin of the scrotum is sensitive and needs to be washed gently with warm water every day and avoid using harsh soaps or shower gels. Choose breathable cotton underwear to reduce localized friction and sweating. If the white spots are caused by ectopic sebaceous glands, no special treatment is usually required and can be relieved by keeping them clean.

2. External use drugs

For fungal infections, you can use bifonazole cream or ketoconazole cream as directed by your doctor. When accompanied by itching, you can use hydrocortisone cream. White spots caused by eczema require the use of hydrocortisone butyrate cream, and when combined with infection, mupirocin ointment is added. Avoid scratching while taking this medication.

3. Oral drugs

Stubborn fungal infections require oral itraconazole capsules, and patients with vitiligo can take vitiligo capsules combined with narrow-band ultraviolet treatment. Patients with genital warts need to take transfer factor capsules orally to enhance their immunity, combined with topical podophyllotoxin tincture.

4. Laser treatment

Refractory genital warts or large sebaceous cysts can be treated with carbon dioxide laser vaporization, and the wound surface should be kept dry after surgery. In the stable stage of vitiligo, 308nm excimer laser irradiation can be selected to promote melanin production.

5. Surgical resection

Suspected malignant lesions or warts exceeding 5 mm in diameter need to be surgically removed and sent for pathological examination. When sebaceous cysts are complicated by infection, incision and drainage are required, and dressings are changed regularly after surgery. All surgeries must be performed in regular medical institutions.

In daily life, you should avoid sitting for long periods of time, wearing tight pants and other behaviors that cause local moisture, and reduce the intake of spicy and stimulating foods in your diet. If the white spots are accompanied by ulceration, exudation, or rapid enlargement, you must seek medical attention immediately to check for skin tumors. It is not recommended to purchase strong hormone ointments and apply them on your own as it may aggravate the condition. Sexual intercourse is prohibited during treatment to prevent cross-infection.