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Anyone had a second SC Denervation?


#1

New here, backstory so far;

2013, vasectomy - healed to a certain point, but still painful

2015, exploratory surgery to see what is wrong, found small granuloma, Dr. re-did vasectomy. still in pain after

2016, reversal, 1/2 better, decide on SCD

Jun2017, Spermatic cord denervation, no improvement - plus ended up causing large hydrocele…fml

Just saw doc today, I suggested epididimis removal, he wants to retry denervation, he says the sperm sample I gave after reversal shows that everything is working OK and that removing the epididimis has a 50/50 shot of improving symptoms.

(He will also remove the hydroceles during this surgery)

Thoughts?


(update) Just got home from SC Denervation 2
#2

Sorry to hear that what are your pain syptoms? Abdominal, testicular, one side/both sides?


#3

Find another pvps specialist.

Epi removal has helped pretty much no one, plus you’re damaging an already pissed off testicle.

I don’t see how another scd would do anything. Have you considered an inguinal orchidectomy? There’s no going back, but it has high success rates.


#4

I suggested that and he advised against it. He did say that sometimes he misses a nerve or two and he is almost 100% successful with the second.


#5

Testicular and both sides


#6

Hey @revbone450.

I feel like I’ve seen you handle before.

What kind of pain do you still have? Is it testicular? Was there any fallout from your SCD?

A lot of times when we get surgery the pain changes in nature. Some things get better but we pick up some other stuff.

How are your T levels?

When you get to a point that your removing parts of the testicle you are in the territory of orhi.


#7

Yeah, I copied and pasted the first part from a previous post, like I said above the doctor advised against removing the epi. and he wants another shot at the nerves.

The pain actually got a hair worse after the SCN, shrug.

Having T, E and Thyroid levels checked on Friday. (tomorrow)


#8

This is an interesting post. I was just talking about this very subject a week ago, or so.

@revbone450, What version of de-nervation did you have already? I’m guessing some version of traditional de-nervation of the spermatic cord (AKA cord stripping)?

Obviously you had a version that preserved your vas’s as you had a reversal first, de-nervation second, and claim to be fertile still.

Which version are you considering having a second time? Another version of cord stripping? Or perhaps neurolysis?

This is somewhat new territory for me (multiple de-nervation surgery’s). I’m not sure how popular this even is.

Why would you consider a second de-nervation surgery if the first one made you a bit worse?


#9

@revbone450, I’m also wondering if you are only open on one side far as your reversal goes.

I remember you started another thread regarding a trial with papaya seed powder. You never updated your thread even once. I’m guessing it didnt help. Did you give papaya seed powder a fair shot at helping you?


#10

Not sure the type, I am just going along with what the doc said.

Also, the Papaya seed powder didn’t do anything for me.


#11

My Epi swelling went waaaay down after the reversal, so I am assuming it worked on both sides. Also the Semenalysys shows that I have a really really high sperm count, doubt that was from only one of my boys.


#12

Do you recall what your numbers were exactly? How about the motility numbers?

If you don’t know either answer, your answers sound like assumptions. A “really high sperm count” doesn’t mean a whole lot here.


#13

Yea, it’s very likely a traditional de-nervation (cord stripping) procedure you had.

After I reread your posts, your story reminds me of another guy that had a failed de-nervation procedure, and the top tier surgeon said he couldn’t find the end of his ilionigual nerve. I don’t recall him saying it made him any worse.

This was actually the guy I spoke of in another de-nervation thread. He was considering having neurolysis several years after the fact.


#14

Hey What’s neurolysis?


#15

@Ezekiel, There’s a fairly recent thread titled “ask questions before de-nervation”, it’s a fairly informative thread. I posted a link toward the final posts that will give you a decent idea what it is.

The link is fairly old, it’s been around a while. It goes way back into the pioneering days of neurolysis. I doubt the procedure has changed much minus the bio wrap part, but idk 100%.

To the best if my knowledge the bio wrap (axoguard) is no longer used, and it’s not used in any of these pioneers robotic reversals either.


#16

@Ezekiel, I think that thread I was referring to is actually titled “please ask questions before de-nervation”.


#17

Thanks a bunch I’ll read up on it