- Hang the IV bag about 2 feet higher than the groin.
- Shut the clamp on the IV rig's hose
- Insert the spike end of the IV rig into the nozzle at the bottom of the IV bag.
- Squeeze the plastic reservoir just below the bag to cause it to half fill.
- Put the needle on the end of the IV hose.
- Without touching the IV needle, we remove the sterile needle cap and un-clamp the hose to purge it of air. At no point do we allow the metal portion of the needle to touch anything other than the inside of the sterile needle cap.
- Re-clamp the hose and recap the needle, again making sure the needle does not touch anything that is not sterile.
- Glove up.
- Skin prep the scrotum (about 1” down from the penis and to one side), grasp it between thumb and forefinger and pull it out into a “tent” (to keep the needle away from the delicate bits inside the scrotum).
- Uncap the needle and push it through the prepped skin into the center of the "tent". If there is more than a little pain, we may be hitting things we shouldn't and we carefully reposition the needle.
- Unclamp the hose and check the reservoir for flow. If flow is good (a pretty continuous drip) and there is no material pain, we tape the needle in place and fill 'er up. If not, and moderate effort to reposition the needle doesn't solve the problem, we try again, using fresh skin prep, gloves and a new needle.
- Once there is “enough” fluid in one side of the scrotum, we repeat the process on the other side, using a new needle and fresh skin prep on that side.
- Once the needles are out, there is often some "leakage" from the needle insertion points. This is normal. Gently putting pressure on that point by "pinching" it for a few minutes stops the leak.
- A slight amount of "sweating", caused by fluid making its way back out through the thin scrotal tissue, is also normal.

Dramatic,
though temporary, enlargement of the scrotum by filling it with
sterile saline. Labia or breasts can also be done, though the technique and amount of saline used is different.