The granuloma pictured above was removed from the right side and grew around the titanium clip on what I believe to be the testicle side of the vas. When the granuloma was removed, the area was cauterized and the doctor used dissolving sutures. The granuloma was removed with local anesthetic and I was conscious. It was very similar to my original procedure. The initial granuloma removal was done free of charge by the doc that preformed my vasectomy.
These past few days I've noticed that I am favoring my right groin area. When I squat or bend over, I subconsciously try to keep my right leg straight. Sitting, squatting or bending definitely creates more pressure and pain in the area.
I met with my second opinion doctor today and he received my ultasound results. The ultrsound looked good with exception for the expected granuloma. The doctor did not recommend a second surgery to remove the granuloma. He was hesitant as he believes that this can be a reoccurring issue. If he did perform the removal of the 2nd granuloma, he would remove more including a gland and the entire portion of the vas where the granuloma is. He also mentioned that the steroid injection was essentially an anti-inflammatory and would be very painful and have short term results. Instead, the doctor has referred me to a pain clinic and said they will likely recommend an injection in the back to numb the area. This is obviously not ideal and a little frightening. I have an open mind though and will meet with the doc at the pain clinic and get his professional opinion of what is needed.
My wife and I have a set of 22 month old triplets, so a reversal is definitely not ideal, and today's doc mentioned that I could easily end up with more scar tissue to irritate matters worse. I'm not looking forward to the pain clinic but I do hope to get back to normal. I must say that I have been extremely irritable recently too and I feel that my chronic pain has something to do with this.