My name is Iliya, I’m from Ukraine. I do not have a vasectomy, but from the beginning of June 2018, I started to have pain in the left spermatic cord. Perhaps it started after not a strong blow in the training (fight), infection can, it is now difficult to say. In the middle of June they performed ultrasound, which showed no changes, except varicocele 1-2. He performed magnetic resonance imaging, which showed the intake of inguinal lymphonoduses and left-handed eppidimitis. They put him in the hospital, took 3 antibiotics (injections, pills and droppers). We were discharged from the hospital in 18 days. The pain did not pass, the feeling is that it has become stronger. In connection with the pain, the doctor assigned several blocks to the spermatic cord, the injection composition (2 ml - lidocaine, 2 ml - steroid - hydrocortisone, 2 ml - antibiotic - gentamicin). After the injection, there was a hematoma, when lodocaine was decolored, there was relief, then pain was even greater, only 2 such injections were injected into the spermatic cord. Feeling that the doctor damaged their nerve or something ??
As a result, the pain was still very strong, the doctor prescribed an antibiotic, ciprofloxacin, ibuprofen, physiotherapy for the affected area. Nothing helped, it’s been a little more than 2 months, the pain is very strong, it hurts the spermatic cord on the left, gives a little to the testicle.
Unfortunately in Ukraine there are no urologists and in general doctors who are engaged in chronic pain. I have a panic fear that the pain will be permanent. The urologist sent to a therapist who prescribed amitriptyline 25 mg per night and 75 mg lyric two times a day. It helps with sleep and probably removes some of the symptoms, more precisely masks.
At present, I have passed all the tests for infection, including bacterial cultures of urine and ejaculate. In the latter, enterococci were found. Several times ultrasonic control of the scrotum passed, except for a large varicocele on the left that they see nothing.
Local doctors with chronic pain can do only eppidimiectomy or an orchiectomy. Denervation is not done at all, and many do not even know what it is.
They can also heal with antibiotics and do blockade of the spermatic cord (I’m afraid that it can also cause pain and harm, twice already done and it seems to me that the pain is greater).
I had a Skype conversation with Dr. P, after he heard he offers denervation with varicelectomy simultaneously, and now he will calm down for a while and take wait-and-see tactics for a while.
But it’s so painful and scary for me that I’m ready to cut off my testicle with the seminal cord … while I’m holding on, I found this forum, I read it in horror, how many are tormented and that even surgery does not help. If this operation relieved the pain, I would not hesitate to fly to Florida, though it is expensive for a resident of Ukraine, but … read the forum, about the denervation … a lot of negative reviews?!? If this operation relieved the pain, I would not hesitate to fly to Florida, though it is expensive for a resident of Ukraine, but … read the forum, about the denervation … a lot of negative reviews?!?
I write with the help of an interpreter and if not against I will describe the further development of events. I wish everyone good health!