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Suggest remedy for dark discoloration on scrotal sack after an injury

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Posted on Tue, 29 Dec 2015
Question: I was involved in a major motorcycle accident about 4 years ago. No direct injury to my groin area ata ll. But had a major leg break and arm break in the accident. Since then my scrotum sack and developed very dark pigmentation on only "one side" of the sac. It is noticeable divided right down the middle of the sac all on the one side. Half of the sac looks normal, the other half is noticeably dark. On occasion, I notice the top part of the sac feels like the skin underneath is tight and knuckle like. But later in the day, it seems to relax and is fine and that goes away. But it happens daily. I have self checked my sac for years and have never found any lumps or abnormalities. No pain, no itching. Ejaculation is fine and healthy. Erection is healthy. Also, my penis has had dark skin patches in various areas of the shaft. None of this is itchy or sore or red. It looks unsightly and embarrassing during sexual activity. All is normal with the exception of this discoloration on the sac and penis. I believe it is a fungus, but could be something different? Would OTC antifungal cream work?
doctor
Answered by Dr. Dr. P. T. Patil (26 minutes later)
Brief Answer:
Do not use OTC cream.

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you have sustained injury to your scrotum during motorcycle accident 3 years back and since then you have noticed your scrotal sac has become black.

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Was there swelling of the scrotum immediately after accident ?

Black colour pigmentation of the scrotum and penis is mostly due to sub epidermal
bleeding which has stabilized and developed into black patch over scrotum and penile skin .

Since it is long standing and you do not have any symptoms it should be left alone and does not require any treatment .

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil
.
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Dr. P. T. Patil (1 hour later)
Thank you for your reply and assessment.

Yes, it makes sense that it would be due to the accident.
The darkness pigmentation on the sac is on the right side only, which is the same side I had my injuries. However, my penis has had dark colored patches in areas over the years.

I am not sure what you mean my "swelling" of the sac. I was in intensive care for 3 weeks during recovery and I didn't notice any abnormal swelling or soreness. I did have a catheter in for few days.

As I mentioned, in the mornings, the top part of the sac feels hard not pliable, but later in the day, that disappears. That has been the case for a few years now.

One more thing I wanted to let you know.
I have noticed little black ( or dark red ) dots dispersed around the bottom of the sac along the veins. Upon closer look, they look like little blood clots, the size of a pin head. Not sure why they are there. They are not raised and very small.

Thank you for your suggestion to not use the OTC fungal cream, as this does not sound like a fungus.
doctor
Answered by Dr. Dr. P. T. Patil (2 hours later)
Brief Answer:
Black spots on bottom of sac may be clots in superficial veins of scrotum.

Detailed Answer:
Hello
Thanks for follow up .
The dark spots at the bottom of the sac may be capilary hemangiomas and nothing to be worried about it .

The hardness of the sac in the morning is mostly due to pulling up of testicle in the morning when the atmospheric temperature is little cool .This causes contraction of cremastic muscles to pull the testicle up in sac ,However this it has no significance at all.

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10504 Questions

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Suggest remedy for dark discoloration on scrotal sack after an injury

Brief Answer: Do not use OTC cream. Detailed Answer: Hello Thanks for your query ,based on the facts that you have posted it appears that you have sustained injury to your scrotum during motorcycle accident 3 years back and since then you have noticed your scrotal sac has become black. I shall be happy if you can post me few more details to help me in making comments on your problem. 1) Was there swelling of the scrotum immediately after accident ? Black colour pigmentation of the scrotum and penis is mostly due to sub epidermal bleeding which has stabilized and developed into black patch over scrotum and penile skin . Since it is long standing and you do not have any symptoms it should be left alone and does not require any treatment . Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you Thanks and Regards. Dr.Patil .