diagnostic value of US significantly exceeds the clinical examination when scrotal edema has developed. Conclusions. In summary, the Doppler US is a highly sensitive preoperative diagnostic tool for scrotal pain. The sensitivity and specificity of physical examination signs of the acute scrotum in the absence of scrotal edema in children are higher than the US findings, but significantly drops after the onset of scrotal edema. 8. Schalamon J., Ainoedhofer H., Schleef .J et al. Management of acute scrotum in children the impact of Doppler ultrasound.