Blunt scrotal trauma typically occurs in men under 50 from athletic injuries, straddle injuries, car or work accidents, or assaults. Patients present with varying degrees of pain, bruising, and swelling of the scrotum. Doctors should get a clear history of the trauma, examine the genitals gently despite pain, check urine for blood, and order imaging like ultrasound if anatomy cannot be assessed due to swelling, referring to urology if needed. The majority of injuries are bruises or ruptures, and early exploration of serious injuries found on imaging tends to lead to better outcomes.