I've been dealing with a fissure for the past 6 months and had to use sitz baths in warm water. Now I'm experiencing a burning sensation on my scrotum, and I'm also diabetic. The right side of my scrotum is painful, especially at the upper end. I'm really getting mentally frustrated with all of this. What could be going on? Can you help?

Dr Ibrahim Salah

General Practitioner

• MBBS
• 2+ Yrs

Consult Now

I'm so sorry to hear that you're experiencing a burning sensation in your scrotum, especially after dealing with fissures for six months.

Given your symptoms and medical history, it's essential to consult a doctor, preferably a urologist or a dermatologist, to determine the underlying cause of the burning sensation.

That being said, here are some potential causes and factors to consider:

Potential Causes

1. Diabetes-related complications: High blood sugar levels can damage nerves and cause numbness, tingling, or burning sensations in the genital area.
2. Fissure-related complications: The sitz baths and fissure treatment might have caused skin irritation, leading to the burning sensation.
3. Scrotal dermatitis: Inflammation of the scrotal skin, possibly caused by irritation, allergies, or infections.
4. Balanitis: Inflammation of the glans penis, which can cause burning sensations in the scrotum.
5. Nerve damage: Damage to the nerves in the scrotal area, possibly caused by diabetes, trauma, or surgery.

Answered 04/07/2025