@vasectomydr - I noticed your website actually mentions the 1-2% AUA figure. That's a breath of fresh air in comparison to the 1 in 10,000 or whatever sci-fi numbers we were quoted.
I've said this over and over again, that if my vasectomist had told me about a 1 in 50 chance of chronic pain, I would've said no way, no thanks, I'll use condoms.
To be honest, when I saw your username, I was kind of expecting a bash/denial fest directed towards PVPS guys. Thanks for not doing this.
While I appreciate your thoughts on T production post vas, you have to remember that after the vas has been occluded, the epi's will become swollen and distended and irreversible changes do happen to the testes and epi's. Most men are asymptomatic however. This is the $64 question when it comes to PVPS - Why are so many men 'perfectly fine' and then us lucky winners have horrendous life altering pain?
Perhaps the chronic pain that we're suffering is lowering our T, but personally, I just don't see how blocking off an organ that produces T, breaching sertoli cells, leading to an autoimmune response (sperm allergy) can't cause some changes in T production.
The PVPS uro's that I've spoken with at length have their own theories about what causes PVPS, but at the end of the day, they all say 'we don't know what causes it' and 'we also don't know for sure what will fix it.'
There's simply a lot that medicine doesn't know, but it seems like doctors are too embarrassed or proud to just say 'I don't know.'