Thanks @Kyvas @RingoStar @vasregret and @jsh for commenting. While posting is always self-serving, I’m hoping that sharing my story will help others since this appears to be a complex, multi-faceted situation for all of us.
I’m not sure the pudendalhope website is complete. The Pain Mgt. doc I see appears very comfortable doing pudendal blocks (did 2 of them for me about a year ago) but he’s not listed there. Just through Google I’ve found plenty of Pain Mgt. practices that perform blocks and ablations of all these pelvic-region nerves.
In the weirdest way, I’ve been hoping that my problem is GF but fearing it’s pudendal simply because of relative availability of solutions. If the problem is/was GF, then SCD and GF neurectomy were on the table as options, not great options, but options. If I’ve truly got pudendal neuralgia, I could be fvcked for the rest of my life. And, there are so few who treat it surgically.
That said, I am being honest in saying that my pains have moved around a bit, but it could very well be the posterior scrotal nerves that got damaged from the vasectomy and/or bicycling. What I can’t understand, though, is how well (not perfect) I felt for 2-3 months after Dr. P.'s mega block of the spermatic cord.
From late April through early July of this year, I felt good enough to bicycle 15-20 miles 3-4 times per week at a good clip (13-15mph). Why would I feel good enough from a spermatic cord block if the spermatic cord nerves (GF, II/IH) aren’t a big part of my problem?
Theories? What nerves run along side the outside of the scrotum, if any, or below the scrotum? Does the GF have any involvement outside the scrotum?