最終更新日： 2026年5月18日
Several patients are being at my office complaining about simply scrotal pain or discomforts. The symptom is not too severe but it was kept frustrated them. Sometimes, it makes them to digging out a medical advice in order to perform a vary procedure of the investigation. Surprisingly, every type of testicular-related tests will always showed a negative finding and most physicians didn’t offer them such a good explanation or details, rather to make them more stressful and shot many bullets of questions into their minds like; can it possibly become a tumor? Will I need to tolerate or suffering like this in my entire life? Well! This is the points that I’m going to shed the light – it so called “Scrotal pain syndrome” disease.
Scrotum pain syndrome is defined by at least 3 months of unusual discomfort at scrotal area which interfere daily activities. The syndrome has been referred to by many names, including scrotal pain syndrome, chronic orchialgia, testialgia, testicular pain syndrome, post-vasectomy pain syndrome, post-vasectomy orchalgia, chronic testicular pain, chronic scrotal content pain.
泌尿器科医院の患者の約2.5%は陰嚢痛症候群に苦しんでいました。それは陰嚢の神経を刺激するあらゆる種類の刺激によって説明されます。刺激は、トラウマ、感染、刺激刺激、または何もない（特発性）などの何かである可能性があります。陰嚢の神経は、鼠径部と脇腹の神経と同じ枝を共有しています。つまり、異常な不快感が鼠径部と脇腹の領域に広がる可能性があります。
陰嚢痛症候群は、次のような症状を表すことがあります。
- 睾丸痛
- 精巣上体の痛み
- 輸精管の痛み
- 射精中の痛み
- 早漏
- 尿をこすりながらの痛み
- 長時間座った後の痛み
調査の原則は、痛みを大まかに説明できる条件を除外しようとしています。陰嚢痛症候群は神経の問題であるため、あらゆる種類の検査が陰性となる必要があります。治療の選択肢は、臨床転帰に応じて、侵襲性の低いものから侵襲性の高いものへと段階的に始まります。治療法の選択肢は次のとおりです。
- 心理的評価
- 骨盤底運動
- 鍼
- 抗生物質（感染の存在）
- 非ステロイド性抗炎症薬
- 抗うつ薬
- 抗けいれん薬
- 高周波療法
- 精索神経ブロック
- 外科的介入
You can see that there are a lot of treatment options. By the way, the most important thing is a doctor’s role and responsibility. We must provide transparent information to the patient; let them know what is going on and what is the whole picture of this kind of annoying condition. Binding a good relation between patient and doctor. Relationship is very essential for getting through the disease that so called a “Scrotal pain syndrome”
ご不明な点がございましたら、お気軽にご相談ください 私.
If you have been suffering from chronic scrotal or testicular discomfort and would like a proper evaluation and stepwise treatment plan, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. 診療をご予約.
Frequently Asked Questions about Scrotal Pain Syndrome
Scrotal pain syndrome is a chronic condition defined as persistent or intermittent scrotal discomfort lasting at least 3 months that interferes with daily activities. It is also known as chronic orchialgia or chronic testicular pain. The condition is nerve-related, meaning all standard investigations typically return normal or negative results.
Scrotal pain syndrome can be triggered by trauma, infection, prolonged irritation, or post-surgical changes such as after vasectomy. In many cases, no identifiable cause is found, and the condition is classified as idiopathic. The pain may radiate to the groin or flank because the scrotal nerves share branches with those areas.
Scrotal pain syndrome is a nerve-mediated condition rather than a structural or infectious disease. Because the pain originates from abnormal nerve signaling rather than a detectable physical abnormality, imaging studies, blood tests, and urological investigations are expected to return negative results. A normal workup, combined with chronic discomfort, is actually what supports the diagnosis.
Treatment follows a stepwise approach from least to most invasive. Conservative options include psychological evaluation, pelvic floor physiotherapy, acupuncture, anti-inflammatory medications, antidepressants, and anticonvulsants. For cases that do not respond, interventional options such as spermatic cord nerve block or radiofrequency therapy may be considered. Surgical intervention is reserved as a last resort.
No. Scrotal pain syndrome is not associated with cancer or any life-threatening condition. It is a chronic pain disorder related to nerve hypersensitivity. While it can be frustrating and affect quality of life, it does not progress to malignancy. A thorough urological evaluation is important to rule out other conditions, after which appropriate management can be planned.
**免責事項:** このコンテンツは、バンコク病院本部の認定泌尿器科医であるSoarawee Weerasopone博士によって作成およびレビューされました。教育目的のみのものであり、医学的アドバイスを構成するものではありません。いかなる医療処置を開始する前にも、必ず資格のある医療専門家にご相談ください。.
医学的に記述・監修： ソアラウィー・ウィーラソポーン医師（ポム医師） — バンコク病院本社 泌尿器科専門医。 国際フェロー：ベイラー医科大学（米国）、順天堂大学（日本）、長庚紀念医院（台湾）。.
ソアラウィー・ウィーラソポーン医師（ポム医師）は、バンコク病院本院の泌尿器科専門医で、男性医学、ロボット手術（ダヴィンチシステム）、腎結石治療を専門としています。ベイラー医科大学（米国）、順天堂大学医学部附属順天堂医院（日本）、長庚記念医院（台湾）での国際フェローシップを修了しています。このサイトのすべての医療コンテンツは、ソアラウィー医師の臨床経験と国際的なトレーニングに基づいて、同医師によって作成・監修されています。.
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