Men's Health

Lump between anus and scrotum: 8 Causes you must know

Have you ever had a Lump between anus and scrotum? If so, you must be knowing that we tend to get worried about the possible causes of such a lump. Many people worry if they notice a lump anywhere on the body. They tend to think of some dangerous or serious causes of the lump.

If you are having a lump on your private parts, it makes you more worried as it is a sensitive area in the body. You also might feel uncomfortable to talk to your doctor about it. But, you must know that there are many different causes of having a Lump between anus and scrotum.

You may not be aware of all the causes of these lumps. It is in your best interest to consult a doctor, get a physical examination done to know the exact cause of the lump.

Sometimes, the cause of the lump might be minor, and sometimes it can be due to something major occurring in the body. But, it is prudent to get a consultation from a physician for Lump in the genital area always.

Causes of Lump between anus and scrotum:

lump between anus and scrotum
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Like we said earlier, there are multiple causes of Lump between anus and scrotum, ranging from minor problems to serious ones. Let us try to discuss them below:

Injury to the Perineum:

If you are a person who indulges in adventurous sports or heavy physical work, you might be prone to develop a perineal injury. You can also develop perineal injury due to any surgery of the anogenital regions, etc.

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If you have a perineal injury, you can have tears, bleeding and bruising in the perineal site. It can lead to swelling and also the formation of a lump between anus and scrotum at times. If you have a severe perineal injury, it might need to be repaired by a doctor.

For minor injuries, taking rest, having analgesic tablets, applying ice might suffice. But, if your injury site is infected with microbes, you might need prescription antibiotics from your doctor.

Dermoid cyst:

A dermoid cyst is a sac-like structure which is present since the birth of the person. It contains things like hair, teeth, liquid or fluid, glands of the skin. These cysts grow gradually and are usually painless unless they rupture.

They generally occur on the face and lower back. But, they can also occur in ovaries in women and testicle of men. Sometimes, they can occur in the perineum region too. Most of the times, the dermoid cysts are painless and they don’t cause any symptoms.

But, in some people, dermoid cyst in perineum can cause symptoms like difficulty in passing urine, increased frequency of urination due to compression on the urethra. It can also cause full feeling in rectum, constipation, pain while passing stool due to compression of the rectum. If the dermoid cyst is causing problems or symptoms, it might need surgical removal.

Perineal Abscess:

The perineum is the area between anus and scrotum in a man. So, a lump between anus and scrotum could also represent perianal abscess. An abscess is the collection of pus in a sac-like structure, and it is caused by infection. Perianal abscess appears to be red, swollen and painful to touch or tender. It is extremely painful.

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A perianal abscess needs to be surgically drained by a surgeon. You will also be prescribed antibiotics to reduce the infection and analgesics or painkillers to reduce the pain.

Cyst of Anal duct:

All the mammals have anal glands, which are sac-like structures beside the anus. These glands secrete substances which are used to identify each other within the same species. Sometimes the duct of these glands can become blocked due to various reasons.

If the anal glands become blocked, they become infected and swollen, appearing like lump between anus and scrotum. They are red and painful. They will need to be drained by a surgeon. You will also need to take antibiotics to clear the infection and painkillers to reduce the pain.

Epidermal cyst and Pilar cysts:

These cysts are also known with the names of sebaceous cysts and trichilemmal cyst which are its synonyms. Epidermal cysts occur within the skin in the dermis or subcutaneous tissue. They occur in the face, neck, back region and scrotum or they can appear as a lump between anus and scrotum.

Pilar cysts appear similar to the Epidermal or Epidermoid cyst and they contain keratin. These cysts occur more commonly in men in their 20’s and 30’s. In general, these cysts are painless. But, sometimes they may discharge cheese-like substance.

If these cysts become infected, they become painful, red and inflamed or swollen. They can cause difficulty in passing urine, pain during sexual intercourse, etc.


The lipoma is a benign condition or lump which is caused due to the accumulation of fat or adipose tissue. They run in families. That is if your parents or grandparents or siblings have these lumps, then you might also have these lumps.

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Lipoma can occur anywhere of the body like trunk, abdomen, arms, legs, etc. It can also present as a lump between anus and scrotum occasionally. Most often lipomas are painless, soft lumps. But, in some people, they can cause pain if the nerve is compressed.

There is no treatment for lipoma. If the lipoma is removed surgically, then also they can reoccur in the same site or elsewhere in the body. So, there is no benefit of removing them. They are best left as it is. If you have pain, you can take analgesic tablets.

Lymph node swelling:

Lymph nodes are part of the lymphatic system. The lymphatic system drains a fluid called lymph which is part of our defence mechanism or the immune system. If there is an infection in the surrounding areas, the lymph nodes get swollen or inflamed. So, a lump between anus and scrotum could also be due to lymph node swelling.

Sacrococcygeal teratoma:

It is a tumour of our tail bone which develops when you are within your mother’s womb. Most of these tumours are benign, that is they don’t spread to other parts of the body. But, sometimes they turn malignant and spread to other parts of the body. It can also appear like a lump between anus and scrotum.

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