Patient Overview
A 34-year-old male arrived with multiple painless nodules on his scrotum that had persisted for a long time. While he experienced no symptoms like itching, discharge, or pain, he expressed significant concern about the cosmetic appearance and potential risks these nodules might pose.
Clinical Examination
Dr. Nayar examined the patient and found several well-defined, soft, and mobile cystic lesions in diameter. The overlying skin appeared normal, with no signs of redness, swelling, or infection.
Diagnosis
After evaluating the clinical presentation and conducting a thorough palpation, Dr. Nayar diagnosed the patient with sebaceous cysts (epidermoid cysts) on the scrotum. These cysts, caused by blocked sebaceous glands, lead to a buildup of sebum beneath the skin
Treatment Plan
Dr. Nayar explained the benign nature of these cysts and outlined the treatment options. He emphasized that removal was primarily for cosmetic reasons or to address complications. The patient decided to proceed with surgical excision to eliminate the nodules.
Procedure
To ensure the patient’s comfort, Dr. Nayar performed the procedure under local anesthesia. He carefully excised each cyst, minimizing scarring and reducing the risk of recurrence. The entire process was completed within an hour, after which the patient was discharged with detailed aftercare instructions.
Outcome
Two weeks later, the patient returned for a follow-up appointment. The surgical sites had healed effectively, with no signs of infection or cyst recurrence. The patient was pleased with the improved appearance and expressed satisfaction with the results.
Discussion
Sebaceous cysts on the scrotum are relatively common and usually harmless. While they don’t always require treatment, surgical excision provides a permanent solution, especially for patients seeking cosmetic improvement. This case underscores the value of patient-centered care, clear communication, and tailored treatment approaches for dermatological concerns.
This case study demonstrates Dr. Nayar’s expertise in managing such conditions and highlights the importance of addressing patients’ concerns with compassion and precision.