scrotum scrotum the scrotum or scrotal sac is an anatomical male reproductive structure located at the base of the penis that consists of a suspended dual-chambered sac of skin and smooth muscle. it is present in most terrestrial male mammals. the scrotum contains the external spermatic fascia, testes, epididymis, and ductus deferens. it is a distention of the perineum and carries some abdominal tissues into its cavity including the testicular artery, testicular vein, and pampiniform plexus. the perineal raphe is a small, vertical, slightly raised ridge of scrotal skin under which is found the scrotal septum. it appears as a thin longitudinal line that runs front to back over the entire scrotum. in humans and some other mammals the scrotum becomes covered with pubic hair at puberty. the scrotum will usually tighten during penile erection and when exposed to cold temperatures. one testis is typically lower than the other to avoid compression in the event of an impact. scrotumdiagram 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.detailsprecursorlabioscrotal foldssystemreproductivearteryanterior scrotal artery & posterior scrotal arteryveintesticular veinnerveposterior scrotal nerves, anterior scrotal nerves, genital branch of genitofemoral nerve, perineal branches of posterior femoral cutaneous nervelymphsuperficial inguinal lymph nodesidentifierslatinscrotummeshd012611ta98a09.4.03.001 a09.4.03.004ta23693fma18252anatomical terminology the scrotum is biologically homologous to the labia majora in females. although present in most boreoeutherian mammals, the external scrotum is absent in fusiform marine mammals, such as whales and seals, as well as in some lineages of land mammals, such as the afrotherians, xenarthrans, and numerous families of bats, rodents, and insectivores. structure nerve supply nervesurface genital branch of genitofemoral nerveanterolateral anterior scrotal nerves (from ilioinguinal nerve)anterior posterior scrotal nerves (from perineal nerve)posterior perineal branches of posterior femoral cutaneous nerveinferior blood supply 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. blood vessels anterior scrotal arteryoriginates from the deep external pudendal artery posterior scrotal artery testicular artery skin and glands pubic hair sebaceous glands apocrine glands smooth muscle the skin on the scrotum is more highly pigmented compared to the rest of the body. the septum is a connective tissue membrane dividing the scrotum into two cavities. lymphatic system the scrotum lymph drains initially into the superficial inguinal lymph nodes, this then drains into the deep inguinal lymph nodes. the deep inguinal lymph nodes drain into the common iliac which ultimately releases lymph into the cisterna chyli. lymphatic vessels superficial inguinal lymph nodes popliteal lymph nodes 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 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: appendix of epididymidis cavity of tunical albuginea cremaster muscle dartos ductus deferens efferent ductules epididymis leydig cell lobule of testes paradidymis rete testes scrotal septum seminiferous tubule sertoli cell spermatic cord testes tunica albuginea of testis tunica vaginalis parietal layer tunica vaginalis visceral layer tunica vasculosa testis vas deferens development stages in the development of the male external genitalia main article: development of the reproductive system genital homology between sexes main article: sexual homology male sex hormones are secreted by the testes later in embryonic life to cause the development of secondary sex organs. the scrotum is developmentally homologous to the labia majora. the raphe does not exist in females. reproductive organs and tissues develop in females and males begin 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. up until the eighth week after fertilization, the reproductive organs do not appear to be different between the male and female and are called in-differentiated. 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 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. the increased secretion of testosterone causes the darkening of the skin and development of pubic hair on the scrotum. function human scrotum in a relaxed state (left) and a tense state (right) the scrotum regulates the temperature of the testes 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 affect spermatogenesis. temperature control is accomplished by the smooth 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 the cremaster muscle in the abdomen and the dartos fascia (muscular tissue under the skin). 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. animals that move at a steady pace – such as elephants, whales, and marsupial moles – have internal testes and no scrotum. unlike placental mammals, some male marsupials have a scrotum that is anterior to the penis, which is not homologous to the scrotum of placental mammals, although there are several marsupial species without an external scrotum. in humans, the scrotum may provide some friction during intercourse, helping to enhance the activity. clinical significance a study has indicated that use of a laptop computer positioned on the lap can negatively affect sperm production. diseases and conditions the scrotum and its contents can develop diseases or incur injuries. these include: candidiasis (yeast infection) sebaceous cyst epidermal cyst hydrocele hematocele molluscum contagiosum spermatocele paget's disease of the scrotum varicocele inguinal hernia epididymo-orchitis testicular torsion genital warts testicular cancer dermatitis undescended testes chyloderma mumps scabies herpes pubic lice chancroid (haemophilus ducreyi) chlamydia (chlamydia trachomatis) gonorrhea (neisseria gonorrhoeae) granuloma inguinale or (klebsiella granulomatis) syphilis (treponema pallidum) scrotum eczema scrotal psoriasis disease riboflavin deficiency chimney sweeps' carcinoma