This library could certainly use an update.
Reversals certainly aren’t all about congestion (vas to vas specifically). I am proof of that, and so are several other members here. Several top tier pvps reversal surgeons would tell anyone the same thing.
I can remember back in my early days when neurolysis was being recommended for just about anything, congestion, sperm granuloma, nagging pains, nerve damage, varicocele pain, and so forth.
@IamHurtin, I didn’t miss your post. You already know of the top guys in the bay area, some of whom you have seen already.
I could recommend a well rounded pvps doctor somewhere in north America as easily as the next guy. Given your situation, and in general, I don’t recommend. The way I look at things is, if you get messed up, or your treatment is a failure at my recommendation, you may hold some sort of animosity toward the person/people that recommend you go there.
If there was a simple answer to any of this, many of us long term veteran readers, researchers, victims, etc would know what to do, where to go, what procedure is best, etc. Beleive me, if I had all the answers, or knew what we all should do, I would’ve spilled it a long time ago.