@holliday50 You may also want to try alpha lipoic acid. I stopped taking it a few weeks ago, because I thought it wasn't doing anything, well lo and behold, my pain got worse and it was actually waking me up in the middle of the night, which is something that I haven't had happen in about 9 or 10 months. I went back on it and the pain lessened.
It seems to help me a lot with burning pains that I have from what I suspect is GF or II nerve damage during the vas.
I'm not trying to sell you some BS supplements, believe me, I'm the last guy in the world to believe in stuff like that, but there really is research behind alpha lipoic acid for neuropathic pain. It's commonly prescribed in Germany and the Netherlands for folks with diabetic neuropathy.
I was on lyrica and nortriptiline for six months and I can tell you right now that the alpha lipoic acid is far more effective than those drugs, with ZERO side effects, plus it's like $25 for a 4 month supply on Amazon. I take one 600mg tablet before bed and it helps a lot.
You may want to consider a reversal too. Will it fix you? Who the hell knows, no one really does, but perhaps just cutting the vas end out of that scar tissue will help, even if the rest of the scar tissue is left intact. It might not 'cure' you, but you might get some relief. At this point it sounds like all you can do is experiment with surgery, which sucks.
I'm one day out from my reversal and I still have the same nerve pain as before, but I think my balls hurt less already, which is surprising. Hopefully I'll get some relief with time, and I hope you find some relief too.