The development of color-flow imaging has made ultrasound the primary
imaging modality for the evaluation of testicular pathology. The abili
ty to distinguish between epididymo-orchitis and torsion is of great c
linical significance in those patients with acute onset of pain. Not o
nly does the appropriate treatment depend on the correct diagnosis, bu
t the outcome following that treatment is also dependent on establishm
ent of the diagnosis. Although it is of less importance in the evaluat
ion of testicular neoplasms, color-flow imaging does provide adjunctiv
e information that can aid in establishment of the proper diagnosis in
confusing clinical situations. The diagnosis of varicocele depends of
color-flow imaging, and the prediction of testicular viability follow
ing trauma is essential for proper treatment. More studies concerning
the use of power Doppler for imaging of scrotal disorders are necessar
y to determine what its role will be.