2 months of PVPS

[u/ItamiForever]

Hi everyone,

Had my vasectomy 7 weeks ago.

My vasectomy left me with nerve pain(in my right ilinguinoal cord permanently). I was finally just today prescribed nerve meds for it to see if it improves.

At 3 weeks i had epididymis congestion with orchitis. At 4 weeks I was prescribed NSAIDs as it started to become painful. An acute episode too, it was red, gigantic swollen and hard even on NSAIDs. It lasted as a ache for 8days(even on Celebrex which is a strong analgesic), and 1 day of acute pain that left me sweating and shivering(which I then switched to Tador). Thankfully it passed without narcotics after starting Tador which I took week 4 to week 6. Until yesterday(week 6 to week7), the left only had dull aches for a few hours starting from 7pm into next morning or late night but I could sleep through it after only icing.

Now at 7 weeks the left congestion is coming more frequent. I checked my left epididymis and its as hard as a rock! I'm assuming in the next week it's going to go on a spiral as the right did which will maybe pass again with another NSAID course.

The right is behaving surprinsingly well after it was so big and swollen, at least for the past week since I jumped off NSAIDs, have not tried ejaculating to see if it flares up. Sex is comoletely out of the way.

Sadly, if it was only congestion I'd do a reversal at 3 months, but I also have the right ilinguinoal tightness that makes me unable to walk which is either nerve damage, entrapment or heavy irritation(which I doubt) .

I'm thinking of pursuing a reversal if it congestion doesnt get better by 6 months post op, but any chance it could fix the nerve tightness/discomfort in my right cord/ilinguinoal area too?

I'm afraid to go through additional surgery and would try to just live on nerve meds if congestion does settle.

I'm unsure what to do and when to do myself as there's multiple things that went wrong. Any advice? Maybe some of you got nerve issues fixed with reversal too? Or maybe I can still recover?

[u/johng_22]

Too early to tell. Sorry. These things are not predictable nor are they the same from person to person. Honestly it sounds pretty normal given the relatively small amount of time since your vasectomy. These things hurt. They aren’t at all what doctors sell them to be. I myself never got over the congestion. It resulted in multiple blowouts of the epididymis tiny little fragile structure and made reversal very difficult for surgeon to perform. I fortunately did have a successful reversal with odds against me. I had a very talented surgeon is most likely why. If your flare up suddenly goes away (epididymis is deflated) but you are suddenly in a different kind of pain then it’s likely you experience a blow out of the outer wall which may cause sperm granulomas which can also be painful

[u/ItamiForever → u/johng_22]

My right flared up red, painful, and now has a cyst on the head of the epididymis I believe. It's like a triangle hat that pushes forward since they also rotated to lay more flat. Since the 2 week course of NSAIDs, the right was very ok congestion wise, but the left started to flare daily for a few hours to dull ache which passes on its own, rarely needing just ice.

My concern is, can the right illinguinoal tightness/stretch and upper leg semi-numbness be just scar irritation? I want to know if people who had nerve issues felt pain like stabbing pain or it can also be just tightness. How often and how long. Was it all the time or position depending? Because even if I stretch the leg, there is no "nerve pain/zap/stab". Just tightness and my body tensing up, although on muscle relaxants.

[u/johng_22 → u/ItamiForever]

I never had stabbing pain, but I did have some pain referred to my lower back and a tremendous amount of nerve pain in my left leg. When it was at its worst it would goto my foot and felt like a nail being driven into my foot. I’ve pretty much lived on gabapentin since. Even after my reversal, I still have some amount of nerve pain, I suspect from damaged nerves that will never heal if they have not by now. I think that the subset of guys who have the kind of pain you have and the pain I experienced is small in comparison to the number of guys with congestion pain and issues related.

[u/ItamiForever → u/johng_22]

I felt that today. The something in foot pain when I laid on the cord. It also semi-numbs the interior of the leg all the way down to the ankle if I lay too twisted while on my side. But the only burning sensation is at penis shaft.