Why is the scrotum soft and sagging?

The soft and sagging scrotum may be related to physiological temperature regulation, varicocele, testicular hydrocele, inguinal hernia, abnormal hormone levels and other factors. The scrotum is an important organ in the human body that regulates testicular temperature. Its relaxation or contraction state is affected by many factors.

1. Physiological temperature regulation

The skin of the scrotum is rich in smooth muscle fibers. When the ambient temperature rises or you sit for a long time, the scrotum will naturally relax and sag to increase heat dissipation. This situation does not require special treatment, just avoid wearing tight pants and keep the area ventilated and dry. If it is accompanied by redness, swelling, heat and pain, you need to check for infection.

2. Varicocele

It is more common in young adults and is caused by blood stasis due to venous valve insufficiency. The drooping scrotum may also touch earthworm-shaped masses, and the feeling of falling and swelling will increase after standing for a long time. Ultrasound examination is required to confirm the diagnosis, and high spermatic vein ligation may be considered in moderate to severe cases. Medication options include Maizhiling tablets, diosmin tablets and other intravenous active drugs.

3. Testicular hydrocele

Abnormal accumulation of fluid in the intrathecal cavity will cause the scrotum to sag and swell, resulting in a positive light transmission test. Children with congenital disease can be observed before the age of 2 years. Adults with large amounts of fluid need to undergo intrathecal inversion surgery. Acute infectious effusion requires anti-infective treatment such as cefixime dispersible tablets and levofloxacin tablets.

4. Inguinal hernia

When the abdominal contents protrude through the inguinal canal, they may manifest as asymmetric drooping of the scrotum and enlargement of the mass during coughing. Infants and young children can try hernia band compression, while adults need hernia repair. Incarcerated hernia requires emergency surgery, and painkillers are prohibited to mask symptoms.

5. Abnormal hormone levels

Inadequate secretion of testosterone or excessive estrogen may weaken scrotal muscle tone. Middle-aged and elderly men need to test six items of sex hormones, and those with delayed puberty need to be diagnosed with Klinefelter syndrome. Supplementing testosterone undecanoate soft capsules requires strict monitoring of prostate indicators.

In daily life, you should avoid long-term riding or pressure on the scrotum, and choose breathable cotton underwear. Sudden unilateral scrotal prolapse accompanied by severe pain requires vigilance for testicular torsion, and the golden period for treatment is within 6 hours. Regular self-examination for changes in testicular morphology and hardness, and annual urinary system ultrasound screening over the age of 50.