Had a post op consult today at 11 days post reversal. Went pretty well. Things are still inflamed so I was put on a high dose NSAID for a couple weeks. I think its to avoid further nerve issues. I asked about what he saw during the reversal and I learned a few things. First, my granuloma (left) was in there pretty good but he was able to remove it entirely. Personally I feel that caused me the most discomfort.
Second, on my left side he said that more vas had been cut out than he expected and he had to free up some length. That explains my aches on that side above my penis follwing the reversal. It also frustrates me a bit since I think it shows the first urologist wasn't as careful as he should have been. My current doctor disagreed (quickly) that nothing was done wrong but he also is a partner of the prior urologist in a very large practice - separate offices and all that. Whatever - I've repaired things as best as I can and as far I can tell so far things are hanging the same as before but it just shows even more collateral damage from the vasectomy.
Third, I had an open-ended vasectomy and asked if that helped with reversal at all. He said no. On the one side the granuloma closed things off and complicated things a bit. On the other side it had closed up naturally (less than 2 years). He believes open-ended is a bad idea and led to a lot of my problems since it allow sperm to inflame things in the spermatic cord. I tend to agree and, beside being anti-vasectomy all together, would say it's not a pre-cautionary step.
As far as recovery, I'm feeling pretty good. 11 days post vasectomy I was very sore and achy. I'm less sore now and my balls feel much better. I'm still getting aches on my left side similar to what the granuloma caused but it's much less severe and seems to be improving. That was really embedded and there's still a lot inflammation there so hopefully that will resolve. As to congestion type pain, I haven't had much. In fact, the first time I felt congestion like pain was leaving the doctor - as I was a bit upset about learning that an unnecessary chunk of vas was cut out by the first urologist I think I was hyper-sensitive.
Still feeling good about the deicsion. I didn't realize how much self-loathing was wrapped up in my regret. I used to wake up every day hating that I had a vasectomy. That feeling is gone. However, I still find myself thinking about everything a lot. As long as the pain and aches are gone I should be on the road to putting this behind. If they return, I fear I'll have a lot of regret again. Hopefully not.