@Ringostar beat me to it. Here’s the Canadian Guidelines: https://www.cua.org/themes/web/assets/files/vasectomy4017_v4.pdf - first page, paragraph 1, 1-14% chronic scrotal pain
NHS: Some men get pain in one or both of their testicles after a vasectomy. It can happen immediately, a few months or a few years after the operation. It may be occasional or quite frequent, and vary from a constant dull ache to episodes of sharp, intense pain. For most men, however, any pain is quite mild and they do not need further help for it.
Long-term testicular pain affects around one in 10 men after vasectomy. The pain is usually the result of a pinched nerve or scarring that occurred during the operation. You may be advised to undergo further surgery to repair the damage and to help minimise further pain.
Also because of me, (lol) Uptodate updated their vasectomy complications page:
“Post-vasectomy pain syndrome – This condition is thought to result from buildup of fluid in the epididymis leading to a chronic dull ache in the testes. There is some controversy as to how commonly this condition occurs. Historically, rates for post-vasectomy pain syndrome have been reported as very low (<1 percent). However, surveys have found that the incidence of “troublesome” post-vasectomy pain is reported by approximately 15 percent of men, with pain severe enough to affect quality of life in 2 percent. However, survey respondents may not have been representative of all men who have had a vasectomy. The preferred therapy for post-vasectomy pain syndrome is nonsteroidal anti-inflammatory medications (NSAIDs), such as ibuprofen (sample brand names: Advil, Motrin) or naproxen (sample brand name: Aleve), and warm baths. If these measures are not enough to relieve pain, local nerve blocks or steroid injections may be performed by a pain specialist. Cases that do not respond to therapy may require surgery, including possibly a vasectomy reversal.”
Another thing I hate about the AUA guidelines is the “few of these men require additional surgery” well, I would argue that NONE of us ‘require’ surgery, it’s not like we’re going to die because of PVPS, and a lot of the 1-2%'ers are told ‘there’s nothing we can do’ or ‘a reversal will make you worse’ or ‘give it time, give it time’ or even worse ‘man up/it’s in your head.’
So much for informed consent. Print those guidelines out and show them to your uro, see what they say. They’ll probably hand you some BS line about, ‘Ive never seen it’