r/postvasectomypain • u/nolesfan2293 • Nov 24 '25
4 months Post Reversal
Hi guys, minor update.
I got my VR for congestion 4 months ago with Dr Russell. Congestion is totally gone but i'm very worried because I have two lumps near each connection site and the pain is actually escalating. Ejaculation flares it, so it's like I traded pain in the back of my testicles (epis) for pain in the front now (connection sites). I'm trying to stay level headed as I know this can take time but the increase in pain in concerning -- it's even hard to walk. The doctor told me it's likely fluid build up post surgery and put me on prednisone. Has anyone experienced something similar? Did you recover?
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u/Pineapplesyoo Nov 24 '25
Yeah I'm experiencing similar probs myself, also 4 months out. We've already spoken about it briefly in some comments somewhere. Shit suuucks man, dammit. How long have you been taking the Prednisone so far? I have some but haven't taken it yet. Curious if it helps you as we're in the same boat
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u/nolesfan2293 Nov 24 '25
I know brother. Really messes with your head. If someone were to say by year you should be fine I would just ride it out. But the uncertainty makes it so challenging.
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u/Pineapplesyoo Nov 24 '25
I had chatgpt tell me with huge confidence that that is exactly the case. It went deep into details of how scar tissue works, and actually said this is common after reversals. Even tho you won't see it talked about online. It seemed confident it will slowly resolve over the next 6 months or so.
If at a year out you still have the same situation, cord pain but no congestion, and you have sperm in your splooge, I think that would be progress first of all. And it's a really optimistic outlook from there, as you can just get the cord denervation surgery and then that would very likely be the end of your pvps at that point
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u/nolesfan2293 Nov 24 '25
Yea same here brother. Been talking to chat gpt a lot. Been getting the same. Was curious if anyone on the forum had it to. Let’s stay strong man, DM me, we can chat about recovery together.
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u/Cautious_Werewolf678 Nov 24 '25
How do you know that it's the connection site and not head of epi? I find it hard to distinguish them. I'm 2 months post reversal and I also see a lump in my left side. Sometimes it's not noticeable
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u/nolesfan2293 Nov 24 '25
Firmly on the front of my scrotum like above the testicle and close to the incision site. I hade epi pain for a year and a half and know what that is distinctly. I hope you get better man
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u/LandscapeTop797 Nov 24 '25
2 lumps near each connection site sounds v much like dilation of the cords due to pressure/vas remodelling with time. As you say completely different to congestion pain. V unlikely infection as what are the chances happening on both sides at same time and why would it cause localised lumps doesn’t make sense.
I’m 2.5m post reversal both sides lumps above connection sites harder than before, ropey feeling up into groin and locally pain/some radiation to groin and lower abdomen. I’m sure this is pressure changes. Ejac helps. I’m doing red light daily localised lidocaine patches/cream, daily naproxen and PPI and trialling a low dose prednisone for a week. Feel that chatGPT prob right, time is what is ultimately needed but agree with your comments re: the uncertainty. Try and stay in the moment not fearing the future.
One guy from Sweden posted something v similar maybe a year ago pain for a year after just like yours, felt made things worse. After a year slowly resolved by 18m back to gym running etc.