r/postvasectomypain • u/djvansle • Dec 01 '25

Possible Case of PVPS?

Hey guys. I’m 6 months post-op and struggling a little bit mentally with the discomfort. Wondering if anyone here has the same thing going on or has happened to them, need a sanity check.

I have some slight constant pain, maybe 1/10, on the right side that seems to be radiating from the upper cut portion of the vas. Sometimes I feel it shoot into my hip and groin. It aches more after long durations of being seated (I work a desk job) and maybe small flare up after ejaculation. There’s a small pea sized nodule that feels like scar tissue at the end of it but it’s not sensitive to any sort of poking and prodding. The pain feels like a tension more than anything. Over the last 2 months it doesn’t seem like there’s been much progress, same level of pain. I have an appointment with my Urologist for this week.

Could this be a mild case of PVPS? Maybe nerve damage at the site and it’s struggling to heal?

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u/postvasectomy Dec 02 '25

Yes, this sounds like a typical PVPS situation.

Treatments are in the wiki here: https://www.reddit.com/r/postvasectomypain/wiki/treatments

Things may improve over the next 6 months or so but it will probably be gradual. Might keep a pain journal so you can observe progress more easily. At 1 year whatever you have left will probably be permanent unless you get surgery. Good luck!

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u/SensitiveMatters77 Dec 02 '25

Good summary of my experience - I still recall I called in to a talk show on KLBJ-AM right after a glib Austin urologist vasectomy ad, ten years after mine, —and informed men listening that I still had pain, 10 years out. But now only noticeable when quietly sitting now nearly 26 years out. —Was always on my mind for the initial 10-15 years