[Essential testodynia].

Testodynia can be defined as long-lasting or recurrent testicular pain in younger men with no physical disease in their scrotal contents. The condition is suggested as a psychosomatic disease caused by any unrealized or unsolved existential problem leading to a chronic psychological stress reaction. The stress causes alpha 1-receptor mediated contraction of smooth muscle in the vas deferens and epididymis. The pain arises due to the muscle spasm or sperm obstruction. The therapy is a combination of psychotherapy and alpha 1-receptor blocking agents.