I had a left sided epididymectomy done about 6 month after my vasectomy due to left testicular pain. At that time it was treated initially as epididymitis, and by the time the surgery was scheduled the dr was actually expecting to find a spermatocele or something. He ended up removing the epididymis, said that there was a fire nodule at the head that he couldn't explain. Several months later, I began having the same symptoms on the right side. I believe now that this was all due to congestion from PVPS. However, the urologist did not want to perform an epididymectomy on the right side because this would eliminate any possibility of reversal in the future. I ended up having denervation done, and it was the worst thing that has happened over the last few years. The pain from the denervation/neurolysis procedure has been terrible. Constant burning pain that ranged from uncomfortable to unbearable. I've also tried cryoablation and even did the 5 day trial for a spinal cord stimulator, which didn't work. Lost my career, and although I'm physically able to have sex, I never have the desire due to the pain. As I said on another thread on here, it gives me some comfort to read that other guys out there are experiencing the same pain I am. I find myself explaining it over and over again to friends and family, but nobody really "gets it". I'm truly sorry for anyone else out there going through this. It's no way to live.