Testicular Pain/ Scrotal Pain

[martin]

Over the last few weeks, I've been getting tiny blood blisters on my scrotum. They come and go. Some days there are lots of them, some days none. I'm finding lots of pinhead blood spots on my underwear, probably due to their rupture. My GP doesn't know what they are and suggested I see a dermatologist (I have vitiligo and he thinks the two issues might be related). I am wondering if I should see a urologist instead.

I have felt itchy in my pubic area and have changed soaps and use hydrocortisone cream, which have helped. I'm also taking acyclovir because my former doctor thinks I might have herpes (though I was never tested).

Along with being concerned about all this, I'm really confused and not sure how to proceed. How uncommon and potentially serious are these scrotum blood blisters. Is it typically for these blisters to be accompanied by dried blood spots on underwear? Could I have some undiagnosed STD?

I tried looking on line and reading some medical journals and I found some similar discussion about symptoms similar to mine that pertained to testicular angiofribomas.....could this be what I have? If so, what should I do? Any help and advice would greatly appreciated. Thanks!

[drkaufman]

Martin: based on your description, it sounds like what you have are "hemangiomas" of the scrotal skin. These are actually quite common and otherwise benign, requiring no therapy. They will ocassionally bleed as you describe, making a mess of your underware or bedsheets which is understandably quite scary when it happens, but again, is really nothing to worry about. If these hemangiomas bleed regularly, and the resulting bleeding is too upsetting to you, I have sucessfully eradicated the lesions by cauterizing them. This can be done in the Urologist's office under local anesthesia- sometimes requiring several visits based on the number of lesions present. I hope you find this advice helpful. Good Luck-