What you are talking of, is mostly multiple sebaceous cyst over scrotum (strawberry scrotum). If they are asymptomatic can be left alone. But (as in your case) if symptomatic needs excision...

It appears to be a case of multiple sebaceous cysts over scrotum and treatment involves surgical excision

These are sebaceous cyst and harmless. Can be easily removed under local anaesthesia. Local anaesthetic injected in the scrotal skin makes the procedure  painless.

You may be suffering from Multiple sebaceous cyst according to your history and symptoms. Cause is naturally because of excess sweat or improper hygiene or blockage of hair follicles in some conditions like diabetes, arthritis. So need to check two doctors- a surgeon or a plastic surgeon for treatment and a MD medicine doctor to rule out other causes. As it could be a symptom of some underlying disease.

This condition is  known as  multiple sebaceous cysts  over  scrotal skin. You should  keep  area dry and hygienic. You  require  base line  blood investigations and  surgical  removal  of  cysts

Removal under local anaesthesia

Hi. I just went through your problem.. nothing to be worry.. it's a very common things called multiple sebaceous cyst scrotal wall.. more than 100pt. I have treated like you.. I will advice you to see me so I can do proper examination . After that I would be able to tell u need of surgery or not... If it's surgical , very small surgery is there for cure

It can be sexually transmitted disease. Do VDRL TEST.

Probably Sebaceous cyst..

Hi It's multiple sebaceous cyst on the scrotal skin Keep hygiene good Keep dry It can be removed