Abstract: A scrotal cushion and therapeutic device is provided that fits securely under and around the scrotum when a patient is seated or supine (body position characterized by lying flat on one's back). The scrotal cushion comprises a device body, a cap, four lateral wing elements contiguous with the scrotal cushion body, a temperature altering element (cooling or heating) and/or a receptacle for receiving the temperature altering element, and aeration elements. The body, cap and wings are preferably constructed of a soft, absorbent, antibacterial, antifungal, anti-decubitus, fast drying, durable, washable material. The scrotal cushion can be used to decrease pain, increase comfort, reduce scrotal swelling, improve hygiene, prevent scrotal skin tears, prevent infections, and alter fertility.