This post prompted me to join this forum. I had my vasectomy on 2/16/17. My recovery was fairly normal, in that i returned to running and exercising about 6 weeks post vasectomy. From 6-10 weeks I was feeling pretty good, although the left testicle was still a bit tender and the left epi was swollen, but not sensitive to touch. At 10 weeks, I developed some dull pain on the back side of the left testicle, which freaked me out a bit (i’m underselling that, I freaked the f out). Then at 12 weeks, I developed the classed ‘prostatitis’ symptoms…that sitting on a golfball feeling, and the urethra pain/urgency to urinate. The uro who completed the procedure of course thinks its insane to suggest that there’s any connection between my prostatitis symptoms and the vasectomy, and if they were connected, they’d be listed as one of the potential side effects, lol. This prompted me to consult with Dr. P at the PUR Clinic…more on that later. It’s worth noting I’ve never had prostate problems before, albeit I did have a bit of an overactive bladder at times.
The initial prostatitis flair up was pretty bad, but Bactrim knocked it down 95% almost immediately, but the symptoms returned when the Bactrim cycle ended. I also took meloxicam concurrently. Hard to say if that was effective, as the symptoms seemed to be dependent on taking Bactrim, and i continued meloxicam for weeks after with little effectiveness. I’ve tested negative for infection and my bladder is draining ok.
The local uro put me on flomax, which proved to be very effective for the first week, but since then its effectiveness has waned a bit. I’m still taking it for another two weeks. Flomax had some side effects early, but all of those side effects subsided, along with the effectiveness of the drug. I’m also taking an over the counter prostate supplement called Prosta Q. This also seemed effective for about a week, but who knows if that’s just placeba effect.
Anywho, my symptoms are manageable, but uncomfortable at times. I’ve found stretching (multiple time every day), yoga and running are helpful in my case, which is also good for morale. The burning urethra/golf ball feeling come in waves, but haven’t been as bad as that initial flare up. My left epi is still really swollen and has been since day 1, but doesn’t seem to cause pain, and my left testicle pain has disappeared. I’ve even lost the tenderness that kept me in scrotal support for the first 12-16 weeks. I’m fortunate compared to many on this forum, but keeping realistic that things could get better, or worse.
But the prostatitis/CPPS symptoms remain, and it’s been 2.5 months. I consulted with Dr P earlier this week, and he says these symptoms are very common his patients PVPS. I’m going to finish out this cycle of flomax, then give his Cialis/Oxytocin blend a try, and perhaps try the medrol dose packs at some point. The goal is to calm down the nerves and inflammation as possible and hope my body adjusts.
I don’t even want to think about reversal right now. Although I’d be curious to see how reversals worked out where the prostatitis/CPPS were the only symptoms you had. Perhaps I just had a stress induced prostate/pelvic floor inflammation, but I probably know better. I’m trying to keep a positive attitude and do everything i can to attack these symptoms. If the pain levels remain ok, I’ll re-assess at a year post v and go from there.