The more I read here and the more I speak to forum members offline, the more I think the Urologists aren’t able to help many of us. Certainly, denervation SEEMS like a good, less-invasive option than orchiectomy. It makes theoretical sense, but it doesn’t seem to yield durable results for PVPS guys. Maybe some, but we need a predictor of outcome especially since some seem to be made worse from denervation.
I spoke with a peripheral nerve surgeon who expressed that the Urologists are missing the risk of re-growth or neuroma with SCD. He removes the nerve(s) higher up in the groin and avoids messing with the spider web or nerves in the scrotum. He then protects the nerve ending in the muscle to prevent neuroma growth. It’s still risky, of course, but seems like a better option (for me, at least) than SCD from a urologist.
To all men here that have gone through reversal (like me) and are still in pain or having setbacks, I think urologists pretty much only have one more bullet to fire, SCD, and its results are a mixed bag.
For that reason, I sincerely appreciate all the guys’ who’ve gone through denervation and have made efforts to educate us on the real risks, not the 85% success rates they claim. In truth, I was ready to jump into SCD several months ago. Now, I’m focusing on efforts with Pain Management and with a peripheral nerve surgeon. If those two avenues fail and I’m still in pain, then and only then would I consider SCD.