So, through a series of referrals, I found myself with a general surgeon yesterday whose specialty is treating men with post-hernia-surgery pain with laproscopic neurectomies of the GF and II/IH. I must thank @Acschiro for suggesting this option.
He’s sending me for a dynamic ultrasound and some other imaging to once-and-for-all determine whether I have a small inguinal hernia on the left (painful) side and also to see if there’s any detection of nerve damage.
Regardless, he feels confident a laproscopic GF neurectomy is a good option for me, 75% likelihood and even better if I continue to respond to the GF block (as I have before) that he also ordered.
Here’s the most interesting and relevant part. I asked about his approach vis-a-vis Spermatic Cord Denervation. He said he sees a role for SCD but not “for guys like you (me)” that have already had a vasectomy and reversal because of all the scar tissue we’re likely dealing with. He further suggested I ask any urologist proposing SCD what the probability is that he’d find all the nerve fibers containing (visible or microscopic) impacted by scar tissue.
By contrast, he suggested for me that going up the GF before it enters the inguinal ring is probably a better option even though it’s more invasive than SCD. He even suggested that, pending the imaging results, he may have to go further up the GF beyond the point where the GF branches into the femoral and genital branches!!!
So, yesterday, I received 100% agreement with @Acschiro’s theories on why SCD may not work as well for PVP sufferers as, perhaps, the general populace.