Although testicular trauma is rarely seen, the diagnosis and treatment in emergency department is very important because of the infertility risk. Delayed treatment or misdiagnosis of the testicular trauma may cause testicular infarct, torsion, atrophy, and abscess formation. If both of the testicles are affected, it may cause infertility. We present a patient who had traumatic scrotal incision and left testicular hematocele. It was aimed to discuss management of conservative and surgical treatment indications of testicular trauma.