ABSTRACT
To assess the role of ultrasound in evaluation of scrotal surgical condition, Fifty patients with acute scrotum [suspicion of torsion, acute epididymo - orchitis, trauma] or scrotal mass or clinically equivocal low grade varicocele in infertile men, their scrotums were checked by ultrasound [B-mode and color doppler ultrasound using 7.5 MHz linear probe]. We conclude that ultrasound is ideal in localization of scrotal pathology whether from Testis -Epididymis - Spermatic cord or from Scrotal wall. Doppler ultrasound is optimum test to differentiate acute epididymo- orchitis with normal or increased vascular flow from acute testicular torsion with absent flow to the testis and epididymis. All patients with hydrocele should be checked by ultrasound to exclude hidden causative testicular tumor or associated lesion. In blunt scrotal trauma, ultrasound exam aid to take immediate or early decision to do surgical exploration or to proceed in conservative treatment