When I went in to get the diverticulitis all clear for my hernia surgery the gastro doctor again suggested I cut the inguinal nerve during an open hernia repair. I had been doing some research into inguinal hernia repair, something I did not do at all for vasectomy and stumbled upon a website of a local guy that helped out some men with horrible post hernia pain and one guy that had a horrible vasectomy experience. He had given these guys there lives back and I wanted to do a consult with him just to get some more feedback. I ended up going in for an inguinal nerve block way up toward my hip bone and he did another spermatic chord block. I had a little relief but not a complete loss of a sensation of pain or that I was sitting on something.
I mentioned to this local doctor, Eric Williams, that I had seen some research papers where post hernia pain patients had benefited from removal of vasal segments being rubbed by/entrapped in mesh and that the doctor performing the surgery had done some microscopic analysis of the outer layer of the vas and see a “foreign body” reaction in the cells of the perivasal sheath. This made sense to me as it’s part of the trifecta of nerves that Doctor P and B target with their targeted denervation procedure and jibed with the nerve degeneration they see in pain patients.
I had suggested on another thread I feel as if I have vasitis or it seemed to my pain is coming from within the chord and from the vas itself.
The spermatic chord block I got was around the spermatic chord and not directly into it. I was awake and conscious and it did not really hurt that bad, possibly because of the inguinal nerve block. Both blocks were guided by ultrasound.
I got the block because I wanted to know what it would feel like if that nerve was divided. I’ll be honest. I did not have that much numbness. I had a small patch around my groin but none on my inner thigh or at the base of my penis which is the area I expected to feel a lot based on what I had read.
For me the pain seems deep and high up in the chord. My vasectomy was higher up in the chord on that side and I think it’s possible that to free up the vas for reconnection that’s probably where a little “digging” was done to do that. It would make sense to me that scarring in that area due to the dynamic nature of the vas itself (I can make it retract into my abdomen by flexing muscles in my pelvic/lower abdominal region).
So as the topic states. I asked this doctor to look for signs of a hernia and asked if I could stand while he did it. He obliged me. On the left side where I have more pain the ring is looser and when I bore down there was more movement on the computer screen as but no protrusions coming through that he could see. He strongly advised me against getting hernia surgery which of course is another contradictory opinion.
The original ultrasound used words like “possible” piece of fat in “possible” inguinal hernia and was done by a lab tech while I was lying down.
I don’t have a big looping piece of intestine or anything like that.
So I have a deep stabbing pain that seems to originate where my vas/ spermatic chord plunge into my inguinal canal. It’s a burning pain. It feels like I’m being stuck with a needle and I’m not sure how to move forward. When it hurts sitting is very difficult. I’ve got to do something. After my reversal I got to a point where sitting was not too bad. My right side is okay. Bearable. I would do anything at this point if I knew it would help. I just don’t know what to do. I have no testicular pain at all on the left. Just stabbing and burning in the groin region.
Dr. Williams is a nerve removal guy. That’s what he does. He does not do spermatic chord denervation.
I’ve got to do something.