This document provides instructions for dressing and bandaging the scrotum. It outlines the principles, necessary items, and procedure. The key steps are: 1. Clean the wound site and apply layers of gauze and povidone iodine if needed. 2. Begin wrapping a circular bandage around the hip and bring it under the scrotum while applying tension but not too tight. 3. Continue wrapping in an upward motion while molding the material and securing it on both sides of the hip. Make cuts for the penis as needed. 4. The finished bandage should cover and conform to the scrotal area while allowing for patient comfort.

1. DRESSING AND BANDAGING OF
THE SCROTUM
BY SAMBO N.M
RN,RM,RPON,BNSC,PGDE,PM,MSc

2. OUTLINE
• Introduction
• Principles of the dressing
• Items needed
• Before the dressing
• The procedure

3. Introduction
• Dressings and bandages are use to cover
wounds, apply pressure, control haemorrhage
and provide support.
• It is done to assess the wound and to exclude
disease process

4. Principles of the dressing
• Bandage should only be applied after application
of dressing gauze
• Bandage should be applied firmly and secured
• It should not be too tight to stop circulation
• It should not be applied so loose as to allow
dressing to slip
• When a roller bandage is applied, hold with the
right hand so the loose end is on the bottom
• Bandages are mostly made of gauze and or muslin

5. Items needed
• Gauze
• Povidone iodine if applicable
• Gauze bandage or crepe bandage
• Stich Scissors
• Cleaning lotion

6. Before dressing
• Clean op site
• Cover it
• Remove drapes
• Ensure patient is completely dry
• Assemble all needed materials

7. The procedure
• Apply the first layer of gauze with Povidone iodine if
applicable then 4-7 layers of gauze
• Begin application with the circular winding around
the hip of the crepe or gauze bandage
• Central over the mons pubis, towards the base of the
penis;
• Apply with just enough tension to conform with the
anatomy
• You may wish to cut or continue with the coconut
dressing /scrotal sling
• Proceed with bandage winding distally
• Bring the bandage under the scrotum

8. The procedure cont…
• Continue winding in an upward direction
• Attaching it to the circular winding around the hip
laterally at both sides
• Continue winding to cover all exposed area of the
scrotal dressing. Molding the material to conform
• If using a continuous process, make a cross shape
cut on the bandage to accommodate the penis
before winding the crape.
• And trim the bandage as needed towards the
base of the penis
• Bandage turns should overlap

9. The procedure cont…
• When using a stockinet, create a hole to
accommodate the penis, after the first layer
application, twist the stockinet twice then apply
the other end to the scrotum
• Firm dressing may also be applied and the
jockstrap used
• Make patient comfortable after the procedure

10. Bandages 2,4,&6 inches

11. Example of scrotal bandage

12. Scrotal suspensor