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Scrotum

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Sac of skin that protects the testicles
For the obsolete dinosaur fossil name, seeMegalosaurus § "Scrotum humanum".

Scrotum
A human's scrotum in a relaxed state (left) and a tense state (right)
Details
PrecursorLabioscrotal swellings
SystemReproductive system
ArteryAnterior scrotal artery,posterior scrotal artery,deep external pudendal artery,superficial external pudendal artery,internal pudendal artery
VeinPosterior scrotal veins,internal pudendal veins
NervePosterior scrotal nerves,anterior scrotal nerves,genital branch of genitofemoral nerve,perineal branches of posterior femoral cutaneous nerve,pudendal nerve,perineal nerve
LymphSuperficial inguinal lymph nodes
Identifiers
Latinscrotum
MeSHD012611
TA98A09.4.03.001
A09.4.03.004
TA23693
FMA18252
Anatomical terminology

In most terrestrialmammals, thescrotum (pl.:scrotums orscrota; possibly fromLatinscortum, meaning "hide" or "skin")[1][2] orscrotal sac is a part of the external malegenitalia located at the base of thepenis. It consists of a sac ofskin containing theexternal spermatic fascia,testicles,epididymides, andvasa deferentia. The scrotum will usually tighten when exposed to cold temperatures.

The scrotumis homologous to thelabia majora in females.

Structure

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Diagram of the scrotum. On the left side, the cavity of the tunica vaginalis has been opened; on the right side, only the layers superficial to the cremaster muscle have been removed.

In regard to humans, the scrotum is a suspended two-chambered sac ofskin andmuscular tissue containing the testicles and the lower part of thespermatic cords. It is located behind thepenis and above theperineum. Theperineal raphe is a small, vertical ridge of skin that expands from theanus 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 thetesticular artery,testicular vein, andpampiniform plexus.

Nerve supply

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NerveSurface[3]
Genital branch of genitofemoral nerveanterolateral
Anterior scrotal nerves (fromilioinguinal nerve)anterior
Posterior scrotal nerves (fromperineal nerve)posterior
Perineal branches of posterior femoral cutaneous nerveinferior

Blood supply

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Blood vessels[4]
Anterior scrotal arteryoriginates from thedeep external pudendal artery[5]
Posterior scrotal artery
Testicular artery

Skin and glands

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The skin on the scrotum is more highly pigmented in comparison to the rest of the body. Theseptum is a connective tissue membrane dividing the scrotum into two cavities.[6]

Lymphatic system

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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.

Lymphatic vessels[7]
Superficial inguinal lymph nodes
Popliteal lymph nodes

Asymmetry

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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.[8] An alternative view is that testis descent asymmetry evolved to enable more effective cooling of the testicles.[9]

Internal structure

[edit]
Image showing musculature and inner workings of the scrotum

Additional tissues and organs reside inside the scrotum and are described in more detail in the following articles:

Development

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Main article:Development of the reproductive system
Development of external genitals showinghomologues fromindifferent to both sexes - male on left

During the fifth week after fertilization, thegenital 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 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 thelabioscrotal folds into the scrotum. Thescrotal raphe is formed when the embryonic, urethral groove closes by week 12.[10]

Scrotal growth and puberty

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Though the testes and scrotum form early in embryonic life, sexual maturation begins upon enteringpuberty. The increased secretion of testosterone causes the darkening of the skin and development ofpubic hair on the scrotum.[11]

Function

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The scrotum regulates the temperature of the testicles and maintains it at 35 degrees Celsius (95 degrees Fahrenheit), i.e. two or three degrees below the body temperature of 37 degrees Celsius (99 degrees Fahrenheit). Higher temperatures affectspermatogenesis.[12] Temperature control is accomplished by thesmooth muscles of the scrotum moving the testicles either closer to or further away from the abdomen dependent upon the ambient temperature. This is accomplished by thecremaster muscle in the abdomen and thedartos fascia (muscular tissue under the skin that makes the scrotum appear wrinkly).[11]

Duringsexual arousal, the scrotum will also tighten and thicken in the course ofpenile erection.[13]

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.[12] 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.[14] The scrotum is also considered to be anerogenous zone.[15]

Society and culture

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Common slang terms for the scrotum areballsack,nutsack, andteabag.

Some men will get apiercing on the skin of the scrotum, any of which is called ahafada (e.g., scrotal ladder). Side-to-side or front-to-back piercings that pass through the scrotum are known astransscrotal piercings.

Scrotoplasty is asex reassignment surgery that creates a scrotum fortrans men using tissue from the labia majora, or aplastic 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 assack 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.[16]

Other animals

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A scrotum is present in allboreoeutherian land mammals excepthippopotamuses,rhinoceroses,hedgehogs,moles,pangolins,tapirs, and numerous families ofbats androdents.[17] Theanus is separated from the scrotum by theperineum in these mammals. The testicles remain in the body cavity in all other vertebrates, includingcloacal animals.[18]

Unlikeplacentals, some malemarsupials have a scrotum that is anterior to the penis,[19][20][21][22] which is not homologous to the scrotum of placentals,[23] although there are several marsupial species without an external scrotum.[24]

The scrotum is also absent inmarine mammals, such aswhales,dolphins, andseals,[25] as well as in lineages of other land mammals, such as theafrotherians (elephants,aardvarks, etc.),xenarthrans (armadillos,anteaters, andsloths),[26][17] andmonotremes.[27][28]

Clinical significance

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Diseases and conditions

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The scrotum and its contents can develop many diseases and can incur injuries. These include:

See also

[edit]
This article usesanatomical terminology.

Bibliography

[edit]
Books

References

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  1. ^van Driel, Mels (2010).Manhood: The Rise and Fall of the Penis. Reaktion Books. p. 11.ISBN 978-1-86189-708-4. RetrievedOctober 14, 2023.
  2. ^Spiegl, Fritz (1996).Fritz Spiegl's Sick Notes: An Alphabetical Browsing-Book of Derivatives, Abbreviations, Mnemonics and Slang for Amusement and Edification of Medics, Nurses, Patients and Hypochondriacs. Taylor & Francis. p. 142.ISBN 978-1-85070-627-4. RetrievedOctober 14, 2023.
  3. ^Moore, Keith; Anne Agur (2007).Essential Clinical Anatomy, Third Edition. Lippincott Williams & Wilkins. p. 132.ISBN 978-0-7817-6274-8.
  4. ^Elson & Kapit 1977.
  5. ^antthigh at The Anatomy Lesson by Wesley Norman (Georgetown University)
  6. ^"Scrotum". Encyclopædia Britannica. Retrieved2015-02-24.
  7. ^"VIII. The Lymphatic System. 5. The Lymphatics of the Lower Extremity. Gray, Henry. 1918. Anatomy of the Human Body". Retrieved2015-02-24.
  8. ^Bogaert, Anthony F. (1997)."Genital asymmetry in men"(PDF).Human Reproduction.12 (1):68–72.doi:10.1093/humrep/12.1.68.PMID 9043905. Archived fromthe original(PDF) on 2015-05-28. Retrieved2015-06-29.
  9. ^Gallup, Gordon G.; Finn, Mary M.; Sammis, Becky (2009)."On the Origin of Descended Scrotal Testicles: The Activation Hypothesis".Evolutionary Psychology.7 (4): 147470490900700.doi:10.1177/147470490900700402.
  10. ^Van De Graaff & Fox 1989, pp. 927–931.
  11. ^abVan De Graaff & Fox 1989, p. 935.
  12. ^abVan De Graaff & Fox 1989, p. 936.
  13. ^Jequier, Anne M. (2008).Male Infertility: A Guide for the Clinician. Wiley. p. 180.ISBN 978-0-47069-526-5.
  14. ^Jones, Richard (2013).Human Reproductive Biology.Academic Press. p. 74.ISBN 9780123821850.The rear-entry position of mating may allow the scrotum to stimulate the clitoris and, in this way, may produce an orgasm ...
  15. ^Redmon, George L. (2002).Sensual for Life. Kensington Publishing Corporation. p. 176.ISBN 978-0-75820-138-6.
  16. ^Smith, C. Brian (2018-07-31)."The Quick, Painful and 'Totally Not Gay' Cultural History of Sack Whacking".MEL Magazine. Retrieved2025-06-03.
  17. ^abLovegrove, B. G. (2014)."Cool sperm: Why some placental mammals have a scrotum".Journal of Evolutionary Biology.27 (5):801–814.doi:10.1111/jeb.12373.PMID 24735476.S2CID 24332311.
  18. ^"Science : Bumpy lifestyle led to external testes - 17 August 1996 - New Scientist".New Scientist. Retrieved2007-11-06.
  19. ^Hugh Tyndale-Biscoe; Marilyn Renfree (30 January 1987).Reproductive Physiology of Marsupials. Cambridge University Press.ISBN 978-0-521-33792-2.
  20. ^Libbie Henrietta Hyman (15 September 1992).Hyman's Comparative Vertebrate Anatomy. University of Chicago Press. pp. 583–.ISBN 978-0-226-87013-7.
  21. ^Menna Jones; Chris R. Dickman; Michael Archer (2003).Predators with Pouches: The Biology of Carnivorous Marsupials. Csiro Publishing.ISBN 978-0-643-06634-2.
  22. ^Norman Saunders; Lyn Hinds (1997).Marsupial Biology: Recent Research, New Perspectives. UNSW Press.ISBN 978-0-86840-311-3.
  23. ^Patricia J. Armati; Chris R. Dickman; Ian D. Hume (17 August 2006).Marsupials. Cambridge University Press.ISBN 978-1-139-45742-2.
  24. ^C. Hugh Tyndale-Biscoe (2005).Life of Marsupials. Csiro Publishing.ISBN 978-0-643-06257-3.
  25. ^William F. Perrin; Bernd Würsig; J.G.M. Thewissen (26 February 2009).Encyclopedia of Marine Mammals. Academic Press.ISBN 978-0-08-091993-5.
  26. ^"Scrotum".National Institutes of Health. Retrieved6 January 2011.
  27. ^Griffiths, Mervyn (2012-12-02).The Biology of the Monotremes. Elsevier.ISBN 978-0-323-15331-7.
  28. ^Hayssen, Virginia; Orr, Teri J. (2017-10-27).Reproduction in Mammals: The Female Perspective. JHU Press.ISBN 978-1-4214-2315-9.
  29. ^"Paget's disease of the scrotum Symptoms, Diagnosis, Treatments and Causes". RightDiagnosis.com. Retrieved2015-02-24.

External links

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  • Media related toScrotums at Wikimedia Commons
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