A variety of things can cause pain in the scrotum,
the pouch-like structure at the base of a boy's penis.
More to Know
The scrotum holds the testicles (the organs that produce sperm). It also holds
the epididymis and the vas deferens, which are tubes that sperm travel through before
leaving the body.
Things that can cause scrotal pain include:
Testicular torsion, which
is when the spermatic cord that provides blood flow to the testicle rotates and
becomes twisted, usually due to an injury or medical condition. This cuts off the
testicle's blood supply and causes sudden and severe pain and swelling. Testicular
torsion is a medical emergency that usually requires immediate surgery to save the
the swelling and inflammation of the epididymis, the coiled tube at the back of the
testicle that holds and carries sperm. It's often treated with antibiotics, ice, and
Scrotal contusions (bruises) can follow a bump or fall during sports
or active play. The injury may cause blood to leak out from small blood vessels called
capillaries. This can cause soreness, swelling, and "black and blue" marks on the
skin. A bruise should gradually become less painful and fade until it is gone in about
2 weeks. Many scrotal injuries can be prevented by wearing a protective cup during
contact, ball, or puck sports.
fairly common, and more than 70% of these are inguinal hernias, in which a part of
the intestines protrudes through an opening in the lower part of the abdomen, near
the groin. The protruding piece of intestine may enter the scrotum, which can cause
swelling and pain.
Keep in Mind
Boys and teen guys can sometimes experience scrotal pain that doesn't always come
from the scrotum itself. Sometimes it comes from a pulled muscle
or tendon near the scrotum, or from another part of the body, such as the lower back
All A to Z dictionary entries are regularly reviewed by KidsHealth medical