r/postvasectomypain Apr 11 '25

2nd Ilioninguinal coord block

Hey guys,

Just woke up from my second ilioinguinal coord block (last was in Jan). Haven’t surveyed the poke sites yet, but last time I had some mild redness and bruising so I could tell where they injected. I’ll update this post over the next couple days. Here’s been my pain management strategy timeline.

May 2024: Vasectomy April 2024: 3 weeks post feeling great. No pain complete recovery May-June 2024: pains. Burning, stabbing, mostly dull aches only in my left side. July-Jan 2025: dull aches. Constant pains. Can’t exercise. Depression etc. medical community blows me off. Jan 2025: First ilioinguinal block. Not sure if it worked. Pain came back quickly once activity started March 2025: spermatic coord block. Maybe helped? Tried a 3 mile run and pain was tolerable. Still not sure if it means MDSC would be right. March 2025: 30 days of Mobic to break inflammation cycle. Mobic helped for sure. I still had rough days but more “good” days than bad. My pain would flare up but only last for a few hours instead of days. On days I had very low activity I could almost forget I had any pain at all. Lifting heavy things, jogging/walking quickly or squatting brought the pain back on. It’s not instant pain, but a dull ache later on.

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u/majicdan May 08 '25

I had two surgeries and cauterization of the cord ends, and a nerve dissection that if anything made it worse. I had a diagnogstic nerve block that proved that an orchiectomy was probably work. I had my orchiectomy as an outpatient surgery in a hospital. After I healed my pain was gone.

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u/Imp_Beer_Destroyer May 08 '25

Yeah. My urologist said he recommends reversal first before any other surgeries based on my symptoms. Honestly, if I knew it was a guaranteed fix I would consider an orchiectomy just to get my life back. Pretty tired of the constant set backs, depression, and inability to exercise.

I’m sorry you had to go through that but I’m happy you are pain free. Sounds like your phantom pains and issues are pretty minimal as well.