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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes scrotum itching for a year?

My scrotum (testicle sac) has been constantly itchy for about a year now. I wash daily usually at least 2xs down there. Sometimes when I scratch or rub the skin I will scrape off dead skin? Hair follicles? or Little bits of something that i can't really tell what it is. It is not crabs! I'm 46 yrs old. Any advise?
Fri, 9 Aug 2019
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General Surgeon 's  Response
Hi,

This type of pain and location is suggestive of epididymitis which is inflammation of part of the testicle and this not uncommon in males especially in young age. This is usually treated with 10 days of antibiotics, usually ciprofloxacin and there are no permanent consequences. Masturbation and intercourse should be avoided till pain persist, if possible since I may prolong inflammation course. Some more serious conditions such as tumors or torsion are rare but in doubtful cases, you should do Doppler ultrasound or scintigraphy. In this particular case, I don’t think this is required and this should improve on antibiotic therapy.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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