Yeah. Not only is the incidence not communicated, but they tend to gloss over the impact. My urologist said that some men have some mild pain, but “we don’t do anything about that.” As if to say “it isn’t worth making a fuss over” rather than as if to say “there is nothing we can do to resolve their problem.” She said a former patient was a truck driver, who sometimes felt an unpleasant pang when getting out of his truck. There was no mention in my counselling meeting that some men are choosing to have their spermatic cord stripped of all the nerves, or have their testicles removed because it’s the only way to stop them from suffering almost constant debilitating pain for the rest of their lives. There was certainly nothing mentioned about sexual side effects, except for reassurance that there would definitely not be any.
This is like the line in the AUA that says “Few men require surgical treatment for chronic scrotal pain that may occur after vasectomy.” Well what does that mean exactly? How impressive is it that men are not getting surgery for their chronic pelvic pain, when surgery is not covered by insurance, costs $8,000, carries a risk of making the pain even worse, and restores the fertility that they don’t want?