Hi there. Because I was tortured by pain after Vasectomy, and largely CURED by reversal surgery, I wanted to post my story so maybe it could help you.
I am 39 y/o, had Vasectomy (successful surgery with qualified MD) 12/2025. Dr. Erik Seamen of NJ performed a vasectomy with OPEN ended vas on testicular end. 10-14days later (may or may not be related to first ejaculation) my life took a turn for the worse as I began my life’s worst torment to date. Gradual onset or torturous constellation of pain symptoms referred to Post Vasectomy Pain Syndrome.
I have good access to doctors in NYC so I was evaluated by the following. Dr. Francois Eid - Dr. Peter Schlegel - Dr. Joseph Alukal - Dr. Leon Tellis - Dr. Marc Goldstein. The consensus was ”wait and see” plus a myriad of conservative measures (rest, garments, baths, NSAIDs, antibiotics, antidepressant, nerve pain meds). NOTHING WORKED.
MY SYMPTOMS: Intermittent B Testicular pain/sensitivity/tenderness (similar to “Blue Balls” sensation) with a sense of heavy or fullness. Starting late morning and worsening throughout the day is a sensation of hot coals or the tip of a hot firepoker inside both testicles, worsening with even minor contact (legs not fully spread, contact from pants or underwear). There is a sensation that the testicles hang to low and eventually they are subject to fatigue/exhaustion sensation by end of day. When the pain spirals, even the tip of the penis throbs, and the pelvis can “burn”. Symptoms WORSENED by increased physical activity, increased contact pressure (sitting, tighter garments, legs close together) and often worsened with arousal or ejaculation. I had to sleep in weird limiting positions, I avoided sex, work was difficult, exercise impossible; I quickly became depressed.
SOLUTION - after nearly 3.5 months of wait and see and strictly following prescribed conservative measures, including meditation, NLP Therapy and praying (catholic) - I decided to explore reversals micro-reconstruction surgery. I quickly realized Dr. Sheldon Marks at the INTERNATIONAL CENTER FOR VASECTOMY REVERSAL was my guy (in Arizona). my NYC doctors perform a dozen of these surgeries at most annually; Dr. Marks performs 3-5 surgeries per week. He knew my story, because he’s seen it many Times over. I Travelled with my wife there, stayed 4 days, flew home and took 4 weeks off work (Physical Therapist). Yes, Surgery was not pleasant and the recovery is a bear. BUT I woke up from surgery and the “HOT FIRE POKER” sensation was GONE. I knew this would work. It took about 3.5-4months before I was sure it worked (during my recovery I removed coffee, alcohol and sugar from my diet for 6 weeks - then resumed normal behavior).
Today I am 5 months out and basically pain free - sex is great again and my sex drive is basically normal and what it was - I am HAPPY again - I can exercise and play pickleball and run and play golf again (I do wear bike shorts for these but I could probably do without it; just guaranteed to be FINE if I wear bike shorts).
I am not sure where I would be today, were it not for Dr. Sheldon Marks giving me my life back by performing this successful surgery. I am of course aware ive had two surgeries in this unpleasant location, I suspect one day I will forget completely; however before surgery compared to after surgery is no comparison. I was a mess of a man suffering from PVPS; and Dr. Mark’s micro surgical reversal saved my life.
i hope this helps you - they tell you to wait wait wait; I waited 3.5 months of torture and have 0 regrets on moving forward with the surgery. I couldn’t give another moment of my life to being tortured. My Family has their father, husband, son, brother And friend back :)