In most terrestrial

mammal A mammal () is a vertebrate animal of the Class (biology), class Mammalia (). Mammals are characterised by the presence of milk-producing mammary glands for feeding their young, a broad neocortex region of the brain, fur or hair, and three ...

s, the scrotum (: scrotums or scrota; possibly from

Latin Latin ( or ) is a classical language belonging to the Italic languages, Italic branch of the Indo-European languages. Latin was originally spoken by the Latins (Italic tribe), Latins in Latium (now known as Lazio), the lower Tiber area aroun ...

''scortum'', meaning "hide" or "skin") or scrotal sac is a part of the external male genitalia located at the base of the

penis A penis (; : penises or penes) is a sex organ through which male and hermaphrodite animals expel semen during copulation (zoology), copulation, and through which male placental mammals and marsupials also Urination, urinate. The term ''pen ...

. It consists of a sac of

skin Skin is the layer of usually soft, flexible outer tissue covering the body of a vertebrate animal, with three main functions: protection, regulation, and sensation. Other animal coverings, such as the arthropod exoskeleton, have different ...

containing the external spermatic fascia,

testicle A testicle or testis ( testes) is the gonad in all male bilaterians, including humans, and is Homology (biology), homologous to the ovary in females. Its primary functions are the production of sperm and the secretion of Androgen, androgens, p ...

epididymides The epididymis (; : epididymides or ) is an elongated tubular genital organ attached to the posterior side of each one of the two male reproductive glands, the testicles. It is a single, narrow, tightly coiled tube in adult humans, in length; ...

, and vasa deferentia. The scrotum will usually tighten when exposed to cold temperatures. The scrotum is homologous to the labia majora in females.

Structure

In regards to humans, the scrotum is a suspended two-chambered sac of

and muscular tissue containing the testicles and the lower part of the spermatic cords. It is located behind the

and above the

perineum The perineum (: perineums or perinea) in placentalia, placental mammals is the space between the anus and the genitals. The human perineum is between the anus and scrotum in the male or between the anus and vulva in the female. The perineum is ...

. The perineal raphe is a small, vertical ridge of skin that expands from the anus and runs through the middle of the scrotum front to back. The scrotum is also a distention of the perineum and carries some abdominal tissues into its cavity including the testicular artery, testicular vein, and pampiniform plexus.

Nerve supply

Blood supply

Skin and glands

* Sebaceous glands * Apocrine glands *

Smooth muscle Smooth muscle is one of the three major types of vertebrate muscle tissue, the others being skeletal and cardiac muscle. It can also be found in invertebrates and is controlled by the autonomic nervous system. It is non- striated, so-called bec ...

The skin on the scrotum is more highly pigmented in comparison to the rest of the body. The

septum In biology, a septum (Latin language, Latin for ''something that encloses''; septa) is a wall, dividing a Body cavity, cavity or structure into smaller ones. A cavity or structure divided in this way may be referred to as septate. Examples Hum ...

is a connective tissue membrane dividing the scrotum into two cavities.

Lymphatic system

The scrotal lymph initially drains into the superficial inguinal lymph nodes, this then drains into the deep inguinal lymph nodes. The deep inguinal lymph nodes channel into the common iliac, which ultimately releases lymph into the cisterna chyli.

Asymmetry

One testis is typically lower than the other, which is believed to function to avoid compression in the event of impact; in humans, the left testis is typically lower than the right. An alternative view is that testis descent asymmetry evolved to enable more effective cooling of the testicles.

Internal structure

Additional tissues and organs reside inside the scrotum and are described in more detail in the following articles: * Appendix of epididymidis * Cremaster muscle * Dartos fascia * Efferent ductules * Epididymis * Leydig cell * Lobules of testis * Paradidymis * Rete testes * Scrotal septum * Seminiferous tubule * Sertoli cell * Spermatic cord *

Testicle A testicle or testis ( testes) is the gonad in all male bilaterians, including humans, and is Homology (biology), homologous to the ovary in females. Its primary functions are the production of sperm and the secretion of Androgen, androgens, p ...

* Tunica albuginea of testis * Tunica vaginalis * Tunica vasculosa testis *

Vas deferens The vas deferens (: vasa deferentia), ductus deferens (: ductūs deferentes), or sperm duct is part of the male reproductive system of many vertebrates. In mammals, spermatozoa are produced in the seminiferous tubules and flow into the epididyma ...

Development

During the fifth week after fertilization, the genital ridge grows behind the peritoneal membrane. By the sixth week, string-like tissues called primary sex cords form within the enlarging genital ridge. Externally, a swelling called the genital tubercule appears over the cloacal membrane.

Testosterone Testosterone is the primary male sex hormone and androgen in Male, males. In humans, testosterone plays a key role in the development of Male reproductive system, male reproductive tissues such as testicles and prostate, as well as promoting se ...

secretion starts during week eight, reaches peak levels during week 13 and eventually declines to very low levels by the end of the second trimester. The testosterone causes the masculinization of the labioscrotal folds into the scrotum. The scrotal raphe is formed when the embryonic, urethral groove closes by week 12.

Scrotal growth and puberty

Though the testes and scrotum form early in embryonic life, sexual maturation begins upon entering

puberty Puberty is the process of physical changes through which a child's body matures into an adult body capable of sexual reproduction. It is initiated by hormonal signals from the brain to the gonads: the ovaries in a female, the testicles i ...

. The increased secretion of testosterone causes the darkening of the skin and development of

pubic hair Pubic hair (or pubes , ) is terminal hair, terminal body hair that is found in the sex organ, genital area and pubic region of adolescent and adult humans. The hair is located on and around the sex organs, and sometimes at the top of the inside ...

on the scrotum.

Function

The scrotum regulates the temperature of the testicles and maintains it at , i.e. two or three degrees below the body temperature of . Higher temperatures affect spermatogenesis. Temperature control is accomplished by the

smooth muscle Smooth muscle is one of the three major types of vertebrate muscle tissue, the others being skeletal and cardiac muscle. It can also be found in invertebrates and is controlled by the autonomic nervous system. It is non- striated, so-called bec ...

s of the scrotum moving the testicles either closer to or further away from the abdomen dependent upon the ambient temperature. This is accomplished by the cremaster muscle in the abdomen and the dartos fascia (muscular tissue under the skin that makes the scrotum appear wrinkly). During sexual arousal, the scrotum will also tighten and thicken in the course of penile erection. Having the scrotum and testicles situated outside the abdominal cavity may provide additional advantages. The external scrotum is not affected by abdominal pressure. This may prevent the emptying of the testes before the sperm were matured sufficiently for fertilization. Another advantage is it protects the testes from jolts and compressions associated with an active lifestyle. The scrotum may provide some friction during intercourse, helping to enhance the activity. The scrotum is also considered to be an

erogenous zone An erogenous zone (from Greek , ''érōs'' "love"; and English ''-genous'' "producing", from Greek , ''-genḗs'' "born") is an area of the human body that has heightened Sensory processing, sensitivity, the sexual stimulation, stimulation of wh ...

Society and culture

Common slang terms for the scrotum are ''ballsack'', ''nutsack'', and ''teabag''. Some men will get a piercing on the skin of the scrotum, any of which is called a hafada (e.g., scrotal ladder). Side-to-side or front-to-back piercings that pass through the scrotum are known as transscrotal piercings. Scrotoplasty is a

sex reassignment surgery Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a person's physical appearance and sexual characteristics to resemble those associated with their gender identity. The phrase is most often associat ...

that creates a scrotum for trans men using tissue from the labia majora, or a plastic surgery that repairs or reconstructs the scrotum. Cock and ball torture is a kink that may involve bringing pain to the scrotum. Beyond kink, a person (especially a man) may hit someone in the testicles as a gendered cultural practice known as sack tapping. This phenomenon is complex and contains many (often conflicting) meanings: it is used to both strengthen inclusive bonds and reinforce exclusive hierarchies, it is both humorous and violent, and both juvenile and present in male-dominated social spheres beyond those of adolescence.

Other animals

A scrotum is present in all boreoeutherian land mammals except

hippopotamus The hippopotamus (''Hippopotamus amphibius;'' ; : hippopotamuses), often shortened to hippo (: hippos), further qualified as the common hippopotamus, Nile hippopotamus and river hippopotamus, is a large semiaquatic mammal native to sub-Sahar ...

es,

rhinoceros A rhinoceros ( ; ; ; : rhinoceros or rhinoceroses), commonly abbreviated to rhino, is a member of any of the five extant taxon, extant species (or numerous extinct species) of odd-toed ungulates (perissodactyls) in the family (biology), famil ...

es, hedgehogs, moles,

pangolin Pangolins, sometimes known as scaly anteaters, are mammals of the order Pholidota (). The one extant family, the Manidae, has three genera: '' Manis'', '' Phataginus'', and '' Smutsia''. ''Manis'' comprises four species found in Asia, while ' ...

tapir Tapirs ( ) are large, herbivorous mammals belonging to the family Tapiridae. They are similar in shape to a Suidae, pig, with a short, prehensile nose trunk (proboscis). Tapirs inhabit jungle and forest regions of South America, South and Centr ...

s, and numerous families of bats and

rodent Rodents (from Latin , 'to gnaw') are mammals of the Order (biology), order Rodentia ( ), which are characterized by a single pair of continuously growing incisors in each of the upper and Mandible, lower jaws. About 40% of all mammal specie ...

s. The anus is separated from the scrotum by the

in these mammals. The testicles remain in the body cavity in all other vertebrates, including

cloaca A cloaca ( ), : cloacae ( or ), or vent, is the rear orifice that serves as the only opening for the digestive (rectum), reproductive, and urinary tracts (if present) of many vertebrate animals. All amphibians, reptiles, birds, cartilagin ...

l animals. Unlike placentals, some male marsupials have a scrotum that is anterior to the penis, which is not homologous to the scrotum of placentals, although there are several marsupial species without an external scrotum. The scrotum is also absent in

marine mammal Marine mammals are mammals that rely on marine ecosystems for their existence. They include animals such as cetaceans, pinnipeds, sirenians, sea otters and polar bears. They are an informal group, unified only by their reliance on marine enviro ...

s, such as

whale Whales are a widely distributed and diverse group of fully Aquatic animal, aquatic placental mammal, placental marine mammals. As an informal and Colloquialism, colloquial grouping, they correspond to large members of the infraorder Cetacea ...

dolphin A dolphin is an aquatic mammal in the cetacean clade Odontoceti (toothed whale). Dolphins belong to the families Delphinidae (the oceanic dolphins), Platanistidae (the Indian river dolphins), Iniidae (the New World river dolphins), Pontopori ...

s, and seals, as well as in lineages of other land mammals, such as the afrotherians (

elephant Elephants are the largest living land animals. Three living species are currently recognised: the African bush elephant ('' Loxodonta africana''), the African forest elephant (''L. cyclotis''), and the Asian elephant ('' Elephas maximus ...

s, aardvarks, etc.),

xenarthra Xenarthra (; from Ancient Greek ξένος, xénos, "foreign, alien" + ἄρθρον, árthron, "joint") is a superorder and major clade of placental mammals native to the Americas. There are 31 living species: the anteaters, tree sloths, and ...

ns (

armadillo Armadillos () are New World placental mammals in the order (biology), order Cingulata. They form part of the superorder Xenarthra, along with the anteaters and sloths. 21 extant species of armadillo have been described, some of which are dis ...

anteater Anteaters are the four extant mammal species in the suborder Vermilingua (meaning "worm tongue"), commonly known for eating ants and termites. The individual species have other names in English and other languages. Together with sloths, they ar ...

s, and

sloth Sloths are a Neotropical realm, Neotropical group of xenarthran mammals constituting the suborder Folivora, including the extant Arboreal locomotion, arboreal tree sloths and extinct terrestrial ground sloths. Noted for their slowness of move ...

s), and monotremes. Testicular of a bulldog cow Hoden eines Ochsen Venezuela P1140356.JPG, Scrotum of a

bull A bull is an intact (i.e., not Castration, castrated) adult male of the species ''Bos taurus'' (cattle). More muscular and aggressive than the females of the same species (i.e. cows proper), bulls have long been an important symbol cattle in r ...

File:Male-kangaroo.jpg, Scrotum of a kangaroo Red deer testicles.jpg, Scrotum of a

red deer The red deer (''Cervus elaphus'') is one of the largest deer species. A male red deer is called a stag or Hart (deer), hart, and a female is called a doe or hind. The red deer inhabits most of Europe, the Caucasus Mountains region, Anatolia, Ir ...

Jaguar 7374 (5000551901).jpg, Scrotum of a jaguar Camel's Testicles (3953363864).jpg, Scrotum of a

camel A camel (from and () from Ancient Semitic: ''gāmāl'') is an even-toed ungulate in the genus ''Camelus'' that bears distinctive fatty deposits known as "humps" on its back. Camels have long been domesticated and, as livestock, they provid ...

Chlorocebus-pygerythrus-private-parts.JPG, Scrotum of a vervet monkey File:Giraffe (Giraffa camelopardalis) male genitals covered with ticks ... (51125861810).jpg, Scrotum of a giraffe

Clinical significance

Diseases and conditions

The scrotum and its contents can develop many diseases and can incur injuries. These include: * Candidiasis (yeast infection) *

Sebaceous cyst A sebaceous cyst is a term commonly used to refer to either: * Epidermoid cysts (also termed epidermal cysts, infundibular cyst) * Pilar cysts (also termed trichelemmal cysts, isthmus-catagen cysts) Both of the above types of cysts contain ...

Epidermal cyst The epidermis is the outermost of the three layers that comprise the skin, the inner layers being the dermis and Subcutaneous tissue, hypodermis. The epidermal layer provides a barrier to infection from environmental pathogens and regulates the ...

* Hydrocele testis * Hematocele * Molluscum contagiosum * Spermatocele *Paget's disease of the scrotum *

Varicocele A varicocele is an abnormal enlargement of the pampiniform venous plexus in the scrotum; in a woman, it is an abnormal painful swelling to the List of related male and female reproductive organs, embryologically identical pampiniform venous plexu ...

- enlargement of the pampiniform venous complex * Inguinal hernia * Epididymo-orchitis * Testicular torsion * Pruritus scroti - irritation of the scrotum (itchiness) * Genital warts -

sexually transmitted infection A sexually transmitted infection (STI), also referred to as a sexually transmitted disease (STD) and the older term venereal disease (VD), is an infection that is Transmission (medicine), spread by Human sexual activity, sexual activity, e ...

Testicular cancer Testicular cancer is cancer that develops in the testicles, a part of the male reproductive system. Symptoms may include a lump in the testicle or swelling or pain in the scrotum. Treatment may result in infertility. Risk factors include an c ...

Dermatitis Dermatitis is a term used for different types of skin inflammation, typically characterized by itchiness, redness and a rash. In cases of short duration, there may be small blisters, while in long-term cases the skin may become thickened ...

* Undescended testes (also known as cryptorchidism) * Chyloderma - swollen scrotum caused by a lymphatic obstruction *

Mumps MUMPS ("Massachusetts General Hospital Utility Multi-Programming System"), or M, is an imperative, high-level programming language with an integrated transaction processing key–value database. It was originally developed at Massachusetts Gen ...

Scabies Scabies (; also sometimes known as the seven-year itch) is a contagious human skin infestation by the tiny (0.2–0.45 mm) mite ''Sarcoptes scabiei'', variety ''hominis''. The word is from . The most common symptoms are severe itchiness a ...

* Herpes - sexually transmitted infection * Pubic lice * Chancroid ('' Haemophilus ducreyi'') - sexually transmitted infection * Chlamydia (''

Chlamydia trachomatis ''Chlamydia trachomatis'' () is a Gram-negative, Anaerobic organism, anaerobic bacterium responsible for Chlamydia infection, chlamydia and trachoma. ''C. trachomatis'' exists in two forms, an extracellular infectious elementary body (EB) and an ...

'') - sexually transmitted infection * Gonorrhea ('' Neisseria gonorrhoeae'') - sexually transmitted infection * Granuloma inguinale or ('' Klebsiella granulomatis'') *

Syphilis Syphilis () is a sexually transmitted infection caused by the bacterium ''Treponema pallidum'' subspecies ''pallidum''. The signs and symptoms depend on the stage it presents: primary, secondary, latent syphilis, latent or tertiary. The prim ...

(''

Treponema pallidum ''Treponema pallidum'', formerly known as ''Spirochaeta pallida'', is a Microaerophile, microaerophilic, Gram-negative bacteria, gram-negative, spirochaete bacterium with subspecies that cause the diseases syphilis, bejel (also known as endemic ...

'') - sexually transmitted infection * Scrotal eczema * Polyorchidism - the presence of three or more testicles * Scrotal psoriasis disease * Riboflavin deficiency *

Chimney sweeps' carcinoma Chimney sweeps' cancer, also called soot wart or scrotal cancer, is a squamous cell carcinoma of the scrotum. It has the distinction of being the first reported form of occupational disease, occupational cancer, and was initially identified by P ...

(scrotal cancer)

Bibliography

; Books * * * * *

References

External links

* {{Authority control Human male reproductive system Integumentary system Mammal male reproductive system Sex organs Testicle