Thanks for listening.

I am 26 years old and have been having some issues with my scrotum for a couple of years now. The sack around my testicles often has a tingling sensation acompanied by alot of movement of either the testicles themselves or the sack surrounding them, it is hard to tell. My wife has noticed it during arousal while my testicles are pulled tighty up into my scrotum, like I said the movement almost appears as if my testicles are changing size, or that the scrotum itself is moving around my testicles. Sometimes my scrotum loses its grasp on my testicles and they sag extremely low. The skin becomes very lose and changes it's texture. Becomes very smooth and this is accompanied by some pressure, either in the scrotum itself or along the line between the scrotum and my anus it is tough to pin point the exact origin. I also have some problems finishing urination, I have a lot of dripping following urination, the muscle that one uses to thrust the last bit of urine out has weakend over the last couple of years. Less of a concern, however. During college I did use drugs including LSD, and hope this is not related. My main problem is my scrotum and the fact that it almost always has my attention because of either the tingling, accompanied by movement in my scrotum and the discomfort I have when my testicles drop severely and my scrotum's texture changes to very silky almost, like strethed out skin. I am 26 and feel like my scrotum feels 70. Sorry about the elaboration but just wanted to say everything.

[Kevin Pho, MD]

Tough to say without examination.  Imaging studies like a scrotal ultrasound can identify most of the anatomical abnormalities that can be present within the scrotum.  

Infection, like chronic prostatitis, can also cause a tingling sensation.  Checking the urine for this, and sending off any prostatic secretions (via the digital rectal exam and prostatic massage) can be considered to further evaluate this.  Imaging the prostate can be done to evaluate for any abscess that can lead to chronic infection.  

You may want to discuss these options with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
Medical Weblog:
kevinmd_b