I'll take a crack at this. I think there's a reason no one is responding. I think people are afraid of giving honest opinions. There can be repercussions for these opinions s especially since PVPS'rs have become a strange tight knit group. PUR is a big player in PVPS but don't expect them to be the answer from above.
PUR sees a lot of PVPS. A lot. However, when it comes to this stuff, your options are very limited. I'll go out on a limb and say not even PUR is exactly sure how to fix you. They offer denervation but there are others more experienced in the practice. They offer reversal but there are others more experienced in the practice. They offer several treatment modalities, they're certainly sympathetic about your pain, but they roll the dice (or in this case your nuts) and hope you feel better when you wake up.
I'm three years deep into this mess and I'm confident to say, you will find more knowledge on this forum than you will anywhere else in the world. So called experts are just that. There isn't a magic fix. Most guys worsen or eventually relapse from denervation, reversal helps a handful of people, PT helps, meds help.
There's no one man or one procedure that is going to fix this. I consulted with PUR five times and it was five treatment options each time. Fortunately Dr P is a realistic physician. If you're not ready to shoot you're self because you're in so much pain, I would shy aware from more surgery. Dr P agrees. However, he's a surgeon. He cuts for a living.
I'm not sure if I answered your questions or not. I don't want to be a pessimist but I think it's important to understand early on that there isn't a magic fix. Consultations and advice coming from the members on this forum are better and cheaper than you'll find anywhere in the world.