Most of Europe is in a similar place with debt levels unfortunately:
It’s interesting that Epi is suggested elsewhere , though newer literature points to reversal for pain as more successful.
On the Epidymectomy front, I don’t think it looks all that good, except when repeat reversals, nerve blocks, nerve freezing, denervation and absolutely all possible conventional and neuropathic pain medication options are exhausted myself.
This chap, who I suspect posts here, had one and didn’t have a great outcome from what I remember, but the post is now gone from his site:
I think epidymectomy is the 100% last stop before possibly resorting to an orchi.