Post Vasectomy Pain Forum

11 days post-Rt lower back and Hip Pain {now 30 Days}


How is your husband doing now? Are things better? My pain has moved more to the center of my lower back but still have some right hip pain. Heating pad, hot baths, and heat patches seem to help



I went back to urologist today and he thought the radiating pain was strange and unlikely to be caused by vasectomy, however admitted that if something was less than perfect neurologically before the procedure, that it certainly could seem more pronounced after. Hmm.



I talked to my chiro friend and his comments. Without seeing you, I’m fairly confident you have ilioinguinal nerve entrapment, inflammation, or injury. It’s a nerve that comes out of the middle of your lumbar spine, part of it innervates your stomach, and part of it travels along the spermatic cord. Among other things, it also serves as sensory to your upper medial thigh and hip area. I am going to see him tomorrow. I will be 2 weeks post vacetomy tomorrow. Knowing I may have possible nerve issues early is there any recommendations?




I’ve got the same thing. My vas was three years ago. It’s the ilioInguinal nerve. Both the GF and IL can affect the adductors which is the inner thigh burn but the IL does much more than the GF in terms of muscle innervation.

The kicker is the ilioinguinal nerve runs a large portion of your core muscles including the psoas, hip flexors, and transverse abdominis. That’s why your hip hurts. Mine hurts too and I’ve lost a lot of range of motion (can no longer sit Indian style). Your uro is in denial because he’s an idiot and doesn’t remember his anatomy textbook. I truly mean that. Uro’s (not just yours) are the stupidest surgeons in the field. It’s true, a vasectomy wouldn’t cause those pains. However, damage during surgery is more than able to cause it and most won’t man up and admit it. The pelvis and scrotum are a land mine of nerves. If very easy to trip one up and not know it.

Find a PT and let them know you need help with a pelvic floor and hip flexor injury. I would probably wait a few weeks to a month before you try to rehab so it has a fighting chance to recover. Also understand that neurological injuries are some of the hardest to recover from and this is a very difficult location to treat.

My personal injury went on to take out my low back, both hip, and right knee. Some days I can walk and some days I can’t. The body works like a pulley system and when the front of the body is weak, the rest has to compensate and ends up creating other issues.

Rest, ice, stretch, warm epsom baths, PT, and keep your head up.

I am sorry for your loss.

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@Ben my husband is faring quite well now. He had low back pain immediately after the surgery through about 3 weeks. He wore jeans that were too tight yesterday which caused an increase in sensitivity and skipped baths for a few days, so back in he goes. Its nothing that is impairing any of his activity, but I am making him start the baths again because I don’t want him to have a setback. And I’m throwing away his size 33’s lol. He sits a lot for work, so the tighter jeans put quite a bit more pressure on him throughout the day. That seems to be a huge factor for his pain.



Day 20 and starting to feel a little better but still have occasional shooting pain. Hip and Lower back pain is much better but still noticeable. I still have a long road to go but at least I’m back to work full time as long as I have no set backs. I’ve been seeing a chiropractor 3 days a week and on about 10 natural supplements for inflammation, nerve repair, probiotics, B12, etc. I still make sure to heat, ice, rest, and hot bath multiple times each day.



April 14 update(30 days post Vas update)- Originally I thought I only had nerve pain on the right side II nerve but the last week or so I have developed pain in both testicles mainly in the lower part of the ball on the side. I assume this is congestive pain and or healing at the vas site. I started taking papaya seed to determine if this helps the congestion a couple days ago. I still have right lower back pain and minimal hip pain but both seem a little better. I see a chiropractor as often as possible and do pelvic stretches. I take turmeric, alpha lipoic acid, Fish oil, B12, probiotics, and ibuprofen. I try to avoid taking the pain meds prescribed by the doctors. I also rest, ice, heat, and hot baths multiple times daily. I use a heating pad to sleep on my lower back. My pain levels are between 1-4 daily but I rarely have a moment with no pain. The site has given me a wealth of knowledge on the subject. I plan to setup a Skype with Dr. P, just waiting on the call back. I am very sensitive to oral medicines since I have a sensitive stomach and know prednisone may be my next step but I have had issues taking this in the past. I am hoping there is another steroid option not taking orally. This entire process is BS and I am already thinking about reversal but know I should try conservative options first. I talked to 8 different people that had a vasectomy before mine and the worst case was one guy had ball pain for the first 2 weeks that went away.



90 Day Update- So I still have a lot of the original pains albeit some have calmed down. I get minor testicle pain but my worst pain is my lower right side back pain in the SI joint which by the end of the day at work is relentless. I need to find a way to calm this pain down. I have been seeing a chiro for the past 2 months and started seeing a PF PT specialist a few weeks ago. Both seem to help. I have had 3 II nerve blocks which have provided some relief 50-75% for a few days but not sure if this is just the steroid settling down the inflammation. My PF PT therapists is saying I still have a lot of really tight muscles in the pelvic floor as well as inflammation. My energy levels are also low since the VAS and I have been dealing with off and on nausea probably from all the medicines. Everyday is a struggle but I keep hoping time will help heal.



@Ben Check to see if you have sperm granuloma, might be pressing on the nerve causing pains.



@SomeGreyBIoke I have small ones on each side but not sure if that’s the issue. I only have minor testicle pain. It would be nice but doubtful.



8 month update- seems like years but I’m just past 8 months. My issues are mainly still all right sided with main pain lately in right side of neck feels like I slept on it wrong most days. My lower right back pain which use to be my worst pain hasn’t really been a issue since August when I had PRF. It’s more upper back, shoulder, and neck. I have a lot of muscle weakness on right side and tightness from thigh up to neck. Most days my pain levels are between 0-2 but I don’t exercise very much other than stretching and walking. I don’t do a lot of old hobbies. My energy level is still low compared to preVas but better. Tried a lot of meds but now it’s mainly small dose of GABA before bed 200-300 mg and tramadol during the day. Never more than 50 mg of tramadol. I have been taking aleve also as needed lately which helps. I have had multiple nerve blocks over the 8 months which really helped reduce pain although the last one I’m not sure how much it helped since my pain was already low going in. It did help with some shooting nerve pain I was having. I have a reversal scheduled for December and need to make a decision to go or no go by Monday. I want so bad to give it a try and move on but fear the worse. I am at a point where I am making it day to day and able to work so I’m grateful for that. I’m able to watch my kids games and participate in things although I feel like crap most days. I feel my issue is a combination of things with nerve entrapment or damage at the top of the list. I could also be leaking on right side which could be causing inflammation irritating the nerves and autoimmune issues. I’m leaning towards postponing the reversal to exhaust conservative options I haven’t tried 1. I have not given T therapy a try or papaya seed a full try. If I do this and get relief this could help identify I’m leaking and autoimmune issues. May help with energy. 2. I just got to the point I’m not thinking about vas all the time especially at work. 3. Im still getting better albeit very slow progress. 4. I’m still early and could still be healing. Nerves can take along time to heal.

I hope time can make things better but I fear it will make things worse. I have accepted a lot of things will never be the same which sucks. The only time of year I could get 3 weeks off work is December so if I postpone and do reversal later I will have shorter time off work. My understanding is best time to get reversal is before 3 years post Vas so I still have time from that standpoint. BTW I do have minor testicle pains on occasion but not daily. Feel free to comment with your thoughts and experiences.



I don’t want to influence you one way or another, but I totally underestimated how bad recovery from reversal is. If you go ahead with it, be mentally ready and then some extra.

I’m 3.5 months out, and still feel so messed up, but have seen some positive trend in the past 2 weeks. I’m hoping this will continue.



That’s my thoughts as well. I’ve thought something along those lines in regard to your case for quite some time.

This is quite possible as well. It’s certainly not way out there.

To some your update may read like your doing pretty well, but 200-300mg of tramadol during the day, and a dose of gabapentin at night is likely why your doing as well as your doing, and/or likely the reason you are reporting lower daily pain levels.
The only way to really know is kick the meds completely, and see how your doing then, but you certainly won’t have an answer to that by Monday.

Me neither. The choice must be your @Ben. Nobody but you has to live with the outcome of your potential reversal.

I understand myself, but we all have to keep in mind that reversal recoveries vary man to man. Some do better than others, and vice versa. Nobody can predict what anyone’s recovery will be like. The first 1-2-3~ weeks of acute surgical pain can be rough. Tack on the initial swelling, bruising, etc, all that should be expected.

Good luck with whatever you decide to do.



True. Prepare for the worst, hope for the best.

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I’m only taking 25 to 50 mg of tramadol during the day and 200-300 mg of gaba before bed. Both low doses but yeah would like to kick the meds completely and see where I’m at.



Yea, I was wondering, lol. 200-300 mg of tramadol in a day is in the red for me.

Thanks for the edit, 200-300 mg of gabapentin makes more sense. That’s actually a fairly low dose considering how much many others take in a day.

Gabapentin could be a culprit regarding your low energy levels, and then some.



Thanks for the advice, it’s been a battle with the vas to get to the point I’m at and not looking forward to starting over again with the up and down journey.



Before reversal, I read a number of stories and pretty much all of them said that that it took 6 months to heal. Saying that, few recent posters recovered in 2-3 weeks, so go figure!



So just to up date my story. I had a reversal scheduled but decided to postpone it. I wanted to give a few other conservative options a try fully and get some other opinions. I am also nervous about any additional Sugeries. I am past 9 months now so time may still be in my favor. One thing I find interesting is guys talk about reversals taking 12-18 months to fully heal so I wonder if you had a rough vasectomy if this is the same case? Just a random thought. I have pain all on the right side since day 1 really. My testicle pain is not that bad but I do have what I would call a hot spot that has developed over the last 6 weeks around Vas site on right boy. I would say upper middle part of testicle. If I mess with this or hit it im in trouble. It could be a neuroma or tender granuloma or something else. It seems to be ground zero for where the injury took place. My worst pain is usually lower right back, hip, mid back to neck on right side. I would call this pain moderate and can fluctuate which is worse from day to day. Lower back pain went away for a few months after PRF of II nerve and I was much more active. I have had several nerve blocks in inguinal area for II nerve which helped for several weeks. I can make it through the day however I am uncomfortable a lot of times and use tramadol to get by. When I’m busy at work or relaxing at home I can forget about the pain and discomfort but find myself stretching my neck and back a lot. I still avoid most physical activities and exercise. I have really been concentrating on inflammation the last couple weeks using prednisone cream, alieve, and turmeric. I was never able to stay on anti inflammatory pills early due to stomach issues from antibiotics. I want to see if controlling inflammation helps. I have also been taking papaya seed to see if some of my issues may be autoimmune so hoping reducing my sperm count will help. I have been doing this the last couple of weeks and maybe some minor improvements. Finally, I have scheduled a appointment to see Dr Williams at the Dellon Institute in January. I want to get someone that has a background working with nerves to do a full work up and help diagnose me and provide suggestions on options. From the research I have done and my particular symptoms I need to pursue this option before moving forward with anything surgical.

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I personally had super quick recovery from vasectomy. Very slight pain on day 2, no bruising or swelling. By the end of week 2, I was back on the bike and was fine for around a year before hell broke loose.

I found that serrapeptase was most helpful for me in reducing imflammation. Still using it while I’m recovering from reversal. Seen a couple of anecdotal posts on FB forums saying that it helps with scarring. At this stage, I’m willing to try anything, even if it’s old wife’s tale.

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