Basically, it's a combination of the
words ballsack and butthole. It can be used in place of either words, but doesnt have the same definitions as those words. It'
s used as an insult, with added emphasize on butt or asshole and ballsack. It's like calling someone a ballsack and butthole at the same
time.(NOTE- symonms for butthole and ballsack can also be emphasized or used) ex.-
ass-sack. Another way it's used is as a curse, like damn.