This will be a long post, but I want to be thorough. When I started to realize that I had more pain post-vasectomy than expected, I turned to this forum for advice and support. Coming here, visitors are greeted with a lot of horror stories and people who are having a very tough time with a difficult condition. The support from other members here is great, and knowing that you’re not alone is something in and of itself. One thing that is lacking, I noticed when I came here, are success stories. Some users tend to disappear after some time (I did), and as new visitor to this forum, it can be discouraging to see so few people find relief.
I decided to post today, because a friend of mine was considering a vasectomy. I recommended against it, given the pain that I experienced and risks involved, but then I realized that I hadn’t even thought about my vasectomy for some time. My pain levels had fallen to the point where they no longer had an effect on my life. I still have some nerve issues, but not really a feeling of pain. More a feeling of tightness on one side, and that only tends to show itself after really rough sex. I’ve gotten used it to, and it’s so minor it doesn’t really bother me. If you insist on a % of pain relief, I’d say 98%.
My timeline goes like this: About 1 week after my vasectomy, everything seemed OK. The pain I had was improving, and all seemed normal. Then about 2 weeks post surgery, I started getting terrible pain, mostly on my left side, and mostly coming from the epididymis. I had always worn boxers, but couldn’t walk in them any more without having a lot of pain. I had to wear really tight briefs to be able to walk to work semi-normally, and still had constant pain. This concerned me greatly, and I saw my urologist. He acted like he’d never seen this before. He did an ultrasound of my testicles, and said it was likely in my head because nothing was wrong. This was about 3 or so weeks in, and prompted sleepness nights crawling down a hole on the internet – reading stories of others, the horror of PVPS, and the few options that existed. I read all the studies, most of which suggest reversal as the best course of action. I visited my urologist again at about 8 weeks, and asked about a reversal. He again said that the pain I had wasn’t real, and must be in my head.
Over the next 3 months, my pain stayed about the same. I visited 3 other urologists, 2 or whom specialized in reversals. They all told similar stories, that in their personal experience, reversals don’t usually work (50-50 at best), are very expensive, and can lead to more pain. They all recommended waiting, and taking NSAIDs for pain. So I did. After about 6 months, my pain was a better, but still bothersome enough that I still considered surgery. I visited another doctor who suggested opening up one side, since I had a closed vasectomy, buy he recommended waiting until 1 year before doing any surgery though.
After this, I tried to keep it out of my mind, and not think about it. I took Advil when having bad pain. I purposely stopped visiting this forum, and stopped thinking about solutions. Slowly, but surely, my symptoms got better. Not enough to notice day-to-day, but maybe month to month. After a year, I didn’t consider surgery as an option. My symptoms were mild, and still improving, so I didn’t want to do anything to disrupt that. I started biking and exercising regularly, with no ill effects.
I’m now a little more than 1.5 years out, and I’m really glad that I didn’t opt for another surgery. Like I stated above, things aren’t perfect, but a mild headache is far more annoying that what I deal with now. Sometimes I’ll go weeks without even thinking about my vasectomy. I know that things can always that a turn for the worse, but I’m thankful that at this point in my life, my vasectomy is no longer a source of stress and pain.
I know that not all people here can claim success or relief. I know that a lot of you are still suffering, and everyone is looking for a solution. I came back here to post this to let everyone know, that sometimes things do get better. Sometimes, time is enough, and waiting works. Healing is possible, and it’s possible to get your life back. Don’t give up. Good luck to all.