hardening of scrotum with rough creases

[neilgriffin]

I recently had epididymitis and was treated with antibiotics. Prior to that my right testical seemed to be ascending up and not hanging as it once did virtually even with my left testical. Now, my scrotum on my right side appears to be much harder than it ever was and full of creases that seem to restrict the right testical from hanging properly. There is no pain involved really, but it doesn't look good and I worry that there is something wrong with either my right testical or my scrotum. It's almost as if the scrotum is shrinking up. I did have an ultrasound on the scrotum and there didn't appear to be any long term damage. But this condition doesn't appear to be changing and it's been two months now since I finished with the antibiotic.

What could this be? Any recommendations? Right now I've been treating the scrotum with cordizone creams and tinactin. Only when in the shower and wet does it appear to be "normal".

[Kevin Pho, MD]

Scar tissue from the infection can cause the symptoms.  If the scrotal ultrasound is negative, then it makes it much less likely a serious disease is present.

I would have it evaluated by a urologist or dermatologist - if the symptoms continue despite conservative therapy, perhaps it can be removed.  Tough for me to say without examining you myself.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
Medical Weblog:
kevinmd_b

[Finch23]

A related discussion, Painful hardening of scrotum was started.