Funny enough @Tempe5, I just had a conversation with Dr Marks a few days ago. I thought I'd add my experience with him. Although, I am happy with the urologist I am dealing with in Louisville, I wanted to get a third opinion from him. First off, like everyone has said, he was a super nice guy and he was very easy to talk to. Some things that really surprised me were
1) He thoroughly went over all the conservative measures to try first. He is a huge proponent of pelvic floor physical therapy for everyone because he has seen some very good results with it.
2) He said the guy here in Louisville was a very good surgeon and it wouldn't be a bad decision to use him if I did decide on a reversal. He did say that he believes him and Burrows do a better job, but said that most doctors would say that.
3) He was very respectful in regards to the PUR clinic and encouraged me to talk with them, but I informed that I have already done that. He doesn't appear to really like the "destructive" procedures (neurolysis, etc), but said that it appears that many men get good results so obviously something they are doing is working.
4) He made it very clear that he is pro reversal and to take that for what it was worth.
5) He said that every man has different symptoms, some very localized to the scrotum and others who have an array of systemic issues. He has done reversals on men who may have any and all symptoms and that a reversal can help to alleviate all of them. He also quoted me on a 90-95% success rate of partial or complete resolution of pain/symptoms.
6) Like @Tempe5, he did not seem to push me into reversal and said that in his opinion, that I would not need a reversal, or any surgical procedure for that matter, and that I would probably never call back. Obviously I asked, how do you know that? He stated that he's been doing this a long time and his instinct has gotten pretty good. He based his opinion about me on our conversation including my current mental status/thoughts about my situation, that my symptoms seem to be subsiding with time even if that's being aided with medication, and that I have good support at home. He quoted that he was 66% sure that I wouldn't call him again. HAHA
7) I told him I was going to give myself a year before deciding on surgical intervention especially given that I am currently not disabled but limited with certain physical activities. He said that giving myself a time frame is a bad idea because you may be feeling much better at that time but get frustrated you aren't perfectly healed and jump into a reversal when all you will need is some more time. He also thinks that most men will wake up one day and just know they can either live with it or just know it's time to act. Interesting take on it. .
Sorry for the long post but I wanted to add my experience. If I do decide on a reversal I would be hard pressed to not choose him.