Angiokeratoma of the scrotum:Associated with Varicocele

A 28 year old gentleman presented to us with recurrent bleeding from left hemiscrotum.
He gave no history of trauma. He was married with 2 children and had undergone varicocelectomy surgery 10 years back .
On examination he had grade 3 varicocele on left side and grade 1 varicocele on right side .He had 2-5 mm dark red coloured papules on his left hemiscrotal skin.The dermatologist diagnosed it as Fordyces spots.



In this case we assumed varicocele to be a precipitating factor as Fordyces spots were concentrated on only left hemiscrotum and the varicocele was also Grade 3 severity on left hemiscrotum.

He was taken up for bilateral microsurgical varicocelectomy and will be referred to the dermatologist for probable Laser therapy (CO2).