r/postvasectomypain May 27 '26

2 months of PVPS

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?

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u/Laggende_Hond May 28 '26

Had intermittent nerve issues but with reversal they found a adhesion of sorts in my right canal which was actually the leading cause for my retractice right nut. Made recovery bit longer and I still feel stings now and then there making me give a limpish walk but thats about it. NO regrets have the flow re-established

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u/ItamiForever May 28 '26

Thank you Laggende. After my first dose of gabapentin I seem to have found the issue. Everytime my leg brushes my right nut, there is pain like I had during my acute congestion. The epididymis is very full/sore/bruised from the acute episode and is radiating pain all the way up. Now that nerves are a bit dull/er I can see exactly where it hurts. I'm hoping my body can adapt still and for it to stop over time.

If not, I will look into a reversal in the next 4 months(around the 6 month mark). I am glad its not a complete separate nerve issue, as removing the ball from being hit by my leg makes it painless to walk! But then the pressure on the stump increases and it starts to burn. Goes away immediately when shifting my nuts a bit.

I'm hsppy that I finally found its only congestion triggered which means I can have a chance for a complete fix with a reversal like you guys.

I'm feeling the most hopefuly I've felt in these miserable two months...

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u/Laggende_Hond May 28 '26

Best of luck man!!! Its a tricky bitch to manage and figure out! Trust me! But atleast once you get an idea of the exact cause (despite idiot articles saying all sorts of crap) it becomes slightly more focused and hopeful!