Abstract: Introduction: Acute scrotum is one of the critical emergencies of pediatric urology. Acute scrotum includes various diseases, among which the most prominent are testicular torsion, Morgagni hydatid torsion and epididymitis / epididymoorchitis. The outcome of treatment largely depends on the timely recognition of the disease in question, in order to ensure adequate treatment and a positive outcome per patient. Recognition and verification of these prognostic factors is a challenge in a clinical settings, given the intriguing anatomy of the scrotum and the considerable amount of anamnestic data, clinical signs, diagnostic procedures and laboratory findings. Materials and methods: The research is designed as a retrospective cohort study with the features of observational, quantitative / analytical and applied study. 297 discharge letters were processed from the Clinic for Pediatric Surgery KCUS in the period from 2009-2019. Subjects were divided into 3 cohorts and 6 categories based on treatment outcomes and treatment options. Variables collected from discharge letters contain data obtained from: history inquiries, clinical examination, diagnostic procedures, and laboratory .........................