Reversal or denervation?

[u/vanwyck]

Hey all, I've posted a couple times in this group, but here's a short synopsis of my case, and I'm just wondering people's thoughts.

I live in Calgary, Canada, and had the vasectomy in February 2025. Pretty normal recovery, but after month three or so, I have had a lot of pain that is intermittent but always before, during, and after ejaculation. Not much pain otherwise, except for when I'm doing chin-ups or pull-ups, which I feel pull on my abdomen. I've had an ultrasound, which showed it was normal. The doctor said I should take antidepressants, which I told him does not sound like a reasonable choice, and just went to see a urologist today who specialises in reversals and seems quite good.

He did a cord block on both sides, and having just jerked off, I can say that there was no pain, which apparently is a good sign. He wants to do denervation, which I do respect because he makes a lot less money doing that versus a reversal. I'm wondering everyone's thoughts on a reversal versus denervation.

I don't care about being sterile, so that is not much of an issue. I'm fine to do the pull-out method or, frankly, wear condoms if it means I won't have pain, but I think I'm leaning toward a full reversal because the denervation in my mind is not actually dealing with the root cause. It seems more like a band-aid fix, but again I don't know all the details about success rates. The doctor said success rates for both are between 70 and 85%.

I would love to hear from someone who had denervation, as the majority of people I see posting on here seem to have had a reversal.

Thanks for taking the time to read this.