Quick update from me:
I'm right at 8 months out from vas, and I've had a pretty encouraging month. I've had a gradual (really gradual) reduction in all symptoms starting about a month ago.
At about 7 months I had a weekend where I really felt good, took a step back for a week or so, then another good few days. Now my bad days are really manageable (like 1-2 out of 10 on the scale).
This might be TMI, but had a noticeable change (for the better) in ejaculation feeling/volume around this same time (to the point that I got a little nervous that I might have spontaneously re-attached, haha). So it seems like all the symptoms are inter-related.
I'm also fully convinced that there is a muscular/pelvic floor component to my issues. In the last couple weeks, I've been aggressively foam rolling my adductors, hip flexors, IT band, etc. Pretty much every muscle and tendon from belly button to knee. And I mean aggressively. I am sweating after ten minutes of making it hurt. Anyway, it helps, especially with a desk job.
Staying positive, as my trend is looking up.
Still committed to reversal at one year if things get worse, but I can actually see light at the end of the tunnel now assuming the trend continues.