I have come to believe that in some cases a redo or vasectomy cleanup is the least invasive and best option to fix PVPS. You are not radically altering the spermatic cord and you are removing scar tissue that can be the source of pain. I think fascial interposition, sutures, clips, aggressive cautery can create a mess that will never heal. You are not radically altering the length of the spermatic cord or changing the lie of the testes. I’m glad it is working out for you. Keep us posted.