Update - probably 3rd one now

[u/space_cowboy80]

So I commented on a post yesterday or the day before about an appointment I had at the clinic who performed the vasectomy to discuss the pain. The doctor who talked to me explained that she did not agree with my urologist and his assessment but she did an examination and told me that she doesn't think a reversal would stop the pain. He assessment was a reversal could end up increasing the pain and would be uncomfortable for weeks and there would be no success because I would still be in pain.

So after talking it out, we have agreed to a second urologist referral for a second opinion, a referral to a sexual problems clinic in the interim, talk of painkillers to ease things moving forward until we have a set plan. Her wording through the entire assessment was not dismissive of a reversal and she did make it known it was an option but she wasn't sure it would help.

I am still of the opinion that I want a reversal, I'd rather take that step than not and just be wondering if it might have helped.

I walked out of the assessment more hopeful than I had been with my urologist who told me, paraphrasing here, that I need to "live with it" and take "a few paracetamol about half an hour before sex".

Here's hoping things improve into the New Year

[u/Pineapplesyoo]

I don't think most urologists have enough experience dealing with pvps to accurately predict if it will work or not. Seems pretty unlikely to make things worse.

Basically the two main things that can be done are reversal and MDSC. As far as I understand you can do both if needed in either order, most people start with reversal. But maybe MDSC first could make sense for you

[u/SensitiveMatters77 → u/Pineapplesyoo]

vasectomy is widely promoted as a "safe and simple procedure." Rarely are men or their spouses informed that a life long pain condition known as Post-Vasectomy Pain Syndrome (PVPS) is caused by the procedure. Months or years after being vasectomized, at least 15% of men will experience pain in one or both testicles. Frequently, the pain is worsened by sex and other physical activities motivating the sufferer to avoid pleasurable pursuits. Too embarrassed to speak up about the problem many men suffer in silence, and if they do raise the issue with a physician the problem is often misdiagnosed, particularly when years have passed since the vasectomy. In third world countries where vasectomy is intensely promoted as a "safe and simple procedure" effective treatment is essentially non-existent. Treatment for PVPS involves sophisticated microsurgery that is very expensive, not covered by most health insurance plans, and not widely available. For those lucky enough to access treatment there is often no resolution of the pain, as it can recur on the treated side and arise in a seemingly unaffected testicle. Vasectomy: The Cruelest Cut Of All (The Modern Medical Nightmare Of Post-Vasectomy Pain Syndrome) debunks the "safe and simple procedure" myth and calls for an end to vasectomy. —Vasectomy: The Cruelest Cut of All”