What are the white bumps on the scrotum?

Patient's question:

The other day while taking a shower, I noticed a few white bumps on my scrotum. I squeezed them with my hand, and they came out like white rice grains. They don't hurt or itch, but I've found a few more in these past few days. The scrotum feels damp, and it's usually very warm there. I'm worried I might have some serious illness.
What kind of help do I need: What are the white bumps on the scrotum?

Doctor's answer:

Hello, in your case, it's important to pay attention to the possibility of pearly papules. A physiological developmental variation of the human body, it poses no harm and is not contagious. It is more common in young men with excessive prepuce and those with masturbation habits. Typically, these are some pearly, red, yellow, or white translucent papules, with a single papule diameter of about 1 to 3 millimeters. They are arranged in one to several rows, sometimes encircling the corona, with papules often arranged in a relatively orderly manner, not fusing with each other, without tenderness, without rupture, and mostly without any subjective symptoms. It is a self-limiting disease and not contagious. Some people may gradually fade after a certain period, while others may remain unchanged for decades, so no treatment is needed. It is recommended that you pay attention to local hygiene, drink more water, quit smoking and drinking alcohol, moderate sexual activity, and avoid unprotected sex.

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