There is a hard lump under the scrotum need to clarify the cause of the disease, the common factors are scabies nodules, folliculitis, sebaceous cysts, etc., can be treated by medication, physical therapy, surgery and so on.
1. Scabies nodules: mainly due to the delayed hypersensitivity reaction caused by the excretions and secretions of the scabies mite, there can be a hard lump under the scrotum. Generally use halometasone cream, betamethasone cream, loratadine, cetirizine and other medications, but also liquid nitrogen freezing, carbon dioxide laser and other physical therapy, if necessary, surgical treatment.
2. Folliculitis: mainly caused by bacteria and other pathogens infecting the hair follicle triggered by inflammation, can be manifested as a hard lump under the scrotum. You can use mupirocin ointment, fusidic acid ointment, cefuroxime, cefadroxil and other drugs to treat it. If the folliculitis develops into a larger boil or carbuncle, the lesion needs to be cut open to drain out the pus.
3. Sebaceous cysts: If the glandular ducts that excrete lipids in the skin under the scrotum are blocked, sebum is not excreted and accumulates to form hard bumps. It can be treated with antibiotic drugs such as cephalosporin and penicillin, or surgically by cystectomy.
There is a hard lump under the scrotum should promptly go to the hospital to find out the cause of the disease and treat the cause. The above drugs should be applied under the guidance of a doctor.