@crotalus97, That’s pretty scary brother ^^^, and it’s not surprising at all.
Dr P did my first reversal 4~ months post vas in 2010, and I considered it a blunder all the way around. I ended up with complications, and it was a failure far as return of sperm. It did help me with some pains, but my recovery was up and down, very bumpy, and there were a lot of issues.
Honestly, I don’t think Dr P is very concerned about fertility when it comes to his pain guys. He has his own views on pvps, and like many other pvps doc’s, he thinks he’s right about so much. He might be fellowship trained, but he does to many reversals, or procedures in one day for me personally (as do many others).
Another thing about him is teaching during his procedures, or at least sometimes. He was doing this back in 2010, and apparently still does it. There’s a story on here that’s about a year old that confirms just that. In hindsight, I personally believe that teaching during procedures is just another distraction/s.
I had a redo reversal with Dr Marks a year after my first reversal (2011), and it was a completely different experience all the way around. I’m not sure on why far as some stuff goes either. Perhaps more of the irritated nerves were removed, perhaps Dr Marks was a bit more gentle with me, I really don’t have a concrete answer.
I had zero complaints regarding my redo reversal other than it didn’t meet my expectations in the long run, but I knew that was a possibility beforehand. Obviously, reversal results and outcomes will vary man to man, just as many published pvps studies suggest.
If I could’ve done things over, I would’ve went Marks the first time, but who knows what my story would be now if I had. I certainly didn’t enjoy learning so much the hard way, and that’s why I tell novice readers to get it right the first time. Regretting our choices is not recommended. Don’t buy into anyone’s hype, cheerleading, etc, and go slow.
I know when it comes to Dr P de-nervation procedure (neurolysis), it seems it takes 15 minutes (the actual procedure itself). This is what modern urology wants. They want a quick fix for pvps (the pain), something insurance will cover, and keeps men sterile (my opinion).
True three layer microsurgical reversals take hours to complete. They aren’t very economical far as treating the masses, and will likely be failures on some level at some point as well. Insurance doesn’t like to, or won’t cover them, and like many pvps corrective procedures, the outcomes are unpredictable.
Unlike reversal, there do “seem to be” a lot of pros to de-nervation when it’s actually successful, durable, and doesn’t cause any other issues (hypothetically)(in theory).
Personally, I think a lot of pvps corrective procedures are over rated by many of the surgeons that perform them, and/or sell them. I did read your 10 year follow-up statistics in another thread, and I found it odd that the numbers do not reflect the 86%~ success rate that are in some of his other published literature from 5-8~ years ago. I will note that in the literature, it does mention that some men suffered injury/s. I posted a link to that literature toward the end of a thread titled “please ask questions before de-nervation”.
Another member recently weighed in far as how many of the 10 year study people were actually pvps guys. I think that’s an excellent question to ask myself.
There’s so much we dont know about “all of the hidden data” regarding reversal, and de-nervation, and I have outlined some of that recently. Some of these pvps doc’s are doing there reversals night and day different than one another, and claim to be getting the same outcomes. Idk about all that, and I say, prove it.
Personally, I’d tell you that de-nervation is where modern urology is trying to take the surgical treatment of pvps to (the future). Why? It’s fast, it’s cheap, and if it works, and is durable, it’s probably the way to go (hypothetically). Beleive me when I say, there are people in this world trying to figure just that out (better de-nervation procedures, etc).
Far as is Dr P a better nerve doctor, or better with nerves regarding pvps? I suppose it depends on whom you ask, and whom you believe. Opinions certainly vary across the board, and opinions vary from one end of the spectrum, to the other.
Bottom line, you have to do what you think is best for you. You gotta know where to draw the line. Use common sense, and extreme caution before you submit to another surgery. Wait long enough until you feel confident that conservative treatments, and time alone are not in your best interests anymore. You do remember how you ended up in the boat your in now right?
Far as I’m concerned, bedside manner, compassionate talk, great charisma, etc from any surgeon doesn’t mean much. At the end of the day, it certainly won’t mean a whole lot if surgical decisions take a turn for the worst. Like many, I’ve learned these things the hard way over time. I had 3 corrective procedures myself over a period of 2~ years (2010-2011).
Hopefully I haven’t discouraged you in any way. This post might be TMI, but I’m just sharing my thoughts, and my experience. I see no point for a forum like this one to exist if we cannot speak our minds, and/or the truth, etc.