I feel confident saying you, and I are on different flight paths far as corrective procedures go, and at least somewhat different post vas as well.
I had 3 corrective procedures by the time I was 2~ years post vas. I had my vas in 2010, and I haven’t had another corrective procedure since December 2012.
My corrective procedures in order, reversal, redo reversal, varicocele embolization.
You still might get better. This bout may resolve itself. I would at least try as many conservative treatments as possible before another risky surgical procedure.
From hot soaks, NSAID’s, pain meds, and down the line. A lot of conservative treatments are posted all over this place in numerous threads.
Perhaps some others will chime in here that may better relate to your story. I can relate to pvp/s, and the sperm granuloma, but not the hematoma, nor the epididymectomy.
There are others that have a bicycle in their storyline. Others that have hematoma pain/recovery experience, epididymectomy, and so on.
Many of us have been dealing with this kind of stuff for years, and can relate to what you are experiencing, and dealing with (physically and mentally). Hopefully we can be of some help to you.
Hang in there brother.