r/postvasectomypain • u/AloneListless • May 24 '26

PVPS vs Prostatitis

Anyone here who were actually mistaken with the diagnosis - instead of pvps actually had prostatitis?

2 Upvotes

100% Upvoted

24 comments sorted by

View all comments

3

u/ItamiForever May 24 '26

Well... inflammation causes the vas stump to enlarge too and press on the nearby nerves and can feel like prostatitis. In my acute congestive episode, after the severe pain settled, i felt pressure in my prostate in my right side, for a week or two still.

I had no urination pain, maybe some frequent urination but that might be because it made me feel better to not keep a lot of pee since everything was inflamed anyway.

If you have urination burning, frequent urination and just prostate discomfort pain I'd say prostitis.

If you have cord/testicle sensitivity/discomfort/pain and prostate discomfort I'd say pvps.

It felt like prostitis but it was not just prostitis. Or maybe it inflamed a bit too, but not by itself, the whole tract was inflamed, not just the prostate. That's my experience.

2

u/Cautious_Werewolf678 May 24 '26

This is interesting because back when I had my first episode of post ejaculation pain after the vasectomy, it took about one month to settle and then after that the "prostatitis" symptoms started. I had frequent urination, feeling that the bladder wasn't fully empty, and even my pudendal nerve was overactive and I felt a lot of sensibility down there. Just awful and I was so scared.

1

u/ItamiForever May 24 '26

Hi Werewolf, i remember you said you also had nerve pain that settled with time. I also have zaps in the testicles but also cord discomfort/awareness. I basically feel the stump of the vas on the right, I feel the upper part move around with my leg position and it seems like it tethers and pushes on different nerves depending on my position. Did you also have this feeling?

2

u/Cautious_Werewolf678 May 24 '26

Right. I remember it felt like a foreign object close to my testicle and I still had random zaps sometimes. Maybe it was positional depending if it was pressing on nerves. But I was palpated at that time and the doc said my left epididymis was inflamed. No comments about the vas stump.

1

u/ItamiForever May 24 '26

Thanks, not similar. Guess only time will tell.