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Forum Name: Dermatology Topics

Question: severe itching along a vasectomy stitch line on my scrotum


 fachison - Mon Jun 14, 2010 5:16 pm

good evening, my boyfriend had a vasectomy about 3years ago. for the past 6-8 months he has been complaining of intense itching along the stitch line. a dermatologist prescribed a cortizon which he started using 6months ago. however there has been no improvement since then. please we need your help thank you
 Dr.M.Aroon kamath - Sat Jun 19, 2010 8:43 am

User avatar Hi,
It is very unusual for someone to develop itching in a scar after so long. Is it felt in both scars or only on one side? Is the scar keloidal?

Generally, itching in scars is associated with hypertrophic scars( thickening and redness confined to the scar) or keloidal scars(thickening extends beyond the boundaries of the scar).

In keloidal scars, sometimes, skin bridges may form and sweat/dirt may collect underneath them causing itching.

Pilonidal sinuses occurring in scars have been reported.

Pediculosis pubis needs to be excluded in persons with itching in the scrotum and pubic area.

As it is very difficult to diagnose such conditions without actually examining the patients, i urge you to consult your dermatologist again.

Best wishes!

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