Thanks. This is a classic cost/benefit procedure. I see it as a possible solution. The nerve block didn’t provide long-term benefit, so I can’t think of anything else to try. Don’t know chances, but I’m thinking 50%. But, the risk appears to be lower than any other procedures like neurectomy or denervation. And, if it fails, I think we’d gain some knowledge. In case of failure, it could be that the GF is not the culprit OR it could be that the pain is centralized in the cord (central sensitization). In either case, that’d be good to know before undertaking anything more invasive. My take, perhaps arguable, is that if the ablation fails, it’s likely that denervation would fail.
So, while I’ve got my fingers crossed that this works (doc thinks it will since the block helped the first few hours/days while the anesthetic was working), I’m preparing a Plan B in case it doesn’t work. Might go see Dr. P. and try a series of spermatic cord blocks, might try the in-office cord block with my local uro who also does denervations. I"m also in talks with the Dellon Institute about seeing them. Have a phone consult scheduled next few weeks.
Thanks for the well-wishes.