Simple scrotal laceration without infection should be debrided and sutured as soon as possible. Used for severe scrotal laceration, penetrating wound, etc. Debridement should be thorough, cut off the inactivated tissue, keep the remaining scrotal skin as much as possible, and cover the exposed testis. There are many skin defects in scrotum, which are difficult to repair. It is feasible to reconstruct the scrotum by transferring skin flap, or to temporarily bury the testis under the skin of the inner thigh, and then carry out the second-stage scrotum plastic surgery to make the testis return to the scrotum. The use of antibiotics should be strengthened after operation to prevent infection.

2. Closed scrotal injury

(1) Stay in bed with scrotum contusion, raise the scrotum, apply local cold compress first and then hot compress, so that the congestion can be absorbed as soon as possible, and give antibiotics to prevent infection.

(2) Small hematoma of scrotum was treated by scrotum lifting and local pressure cold compress; If the hematoma is large and gradually aggravated, surgical treatment should be performed, and the blood clot should be removed during the operation to stop bleeding completely. Antibiotics should be used for anti-infection treatment, and if abscess is formed due to infection, incision and drainage should be carried out.

(3) Sheath hemorrhage is intrathecal hemorrhage, which should be treated as hydrocele in the early stage; With chronic inflammation and thickening and hardening of tunica vaginalis, tunica vaginalis excision is feasible.

(4) Hematoma is organized. After a period of time, the hematoma is organized and looks like a tumor in shape and hardness. The testis is compressed by the organized mass, which leads to testicular tissue atrophy and should be removed surgically.