Post Vasectomy Pain Forum

7+ months post reversal, pain free

Hey, guys. I know that a few of you have been asking about my reversal with Dr. Jarvi at Mt. Sinai in Toronto and I apologize that I’ve been slow to update you. I was intending to have posted this update in November, but between my wife’s end of semester exams and other reports all coming due at the same time (which puts a bigger strain on the family schedule than I would have believed!), and basically everybody in the family getting sick in the beginning of December followed by a crush of family visits in late December, the last two months have really gotten away from me.

At any rate, I’m now +7 months post reversal. You can click my profile to see the past posts I’ve made in this forum, but the summary is that my original urologist gave me the run-around for months until I finally got a referral to another urologist who was able to give me an unbiased assessment. He immediately diagnosed me with PVPS and referred me to Dr. Jarvi in Toronto.

After the initial consultation with Dr. Jarvi in which he offered me a variety of interventions (both surgical and non surgical), we agreed that the best next step would be a reversal. We straight-up removed part of the vas on the right side, and reconnected the vas on the left side.

The first 10-12 days after surgery were fine, but then the pain suddenly ramped up to about as bad as it has ever been (which Dr. Jarvi warned usually happens while the body heals after this kind of surgery.) If I remember correctly, the pain started to really come back down within a 7-10 days after that and by 2.5 to 3 months post-surgery I was mostly pain free except for a steady, distracting ache in the testes. Sitting for prolonged periods was still a little bit uncomfortable (lots of shifting around), but not at all unbearable.

At this point, I had my 3-month post-op telephone interview with Dr. Jarvi where we talked about my progress. While on the whole Iwas pretty satisfied with the results, I was still disappointed that I hadn’t made a fuller recovery. Dr. Jarvi told me then something which I don’t believe he had yet mentioned at all: I should continue to improve up to a full 6 months post surgery.

And he was right. I continued to get better and better, and I’m at the point now where I have no pain or discomfort at all during the day. Sex is almost entirely pain free, and the only thing that bothers me is when the wife rides on top for too long – something about sustained, strong pressure on the groin / lowest portion of the abdomen still sometimes causes me a little bit groin pain. I also still sometimes get a little bit of groin pain if I’ve done a full day of really heavy lifting (I deliver mattresses, boxsprings, and mechanical beds). But even that pain doesn’t put me out of action – it’s uncomfortable, but it’s not enough to actually stop me from doing anything.

At my 3-month post-surgery interview with Dr. Jarvi he felt that my progress was enough to declare me a success – apparently I’m one of the lucky guys who make an excellent recovery – but at 7+ months post-surgery I’m virtually pain free.

The only thing that I feel like I can’t do is running/jogging or anything that requires jumping or sustaining hard landings/impact. I never much liked running before, and I still don’t like it now, so I don’t think I’m missing anything, but all things considered I’m virtually 100% back to where I was before the vasectomy. Since the vasectomy the wife got her tubes tied, so I haven’t tested to see if I’m firing live rounds again.

I’m very happy to report that I’m feeling great and that Dr. Jarvi helped me achieve essentially a full recovery. I don’t know that any other doctor couldn’t have done the same, but credit where credit is due, right? I also don’t know that a reversal like what I had will work for every other guy, but at least for me it was a success.

Thanks to those who helped me during the last year :slight_smile:

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James,

Did you had to make any diet changes in these past 7+ months ? Some reversal surgeons in the US recommend to avoid caffeine, nicotine, sugars etc. Also did Dr.Jarvi recommend any supplements during your recovery period ?

Thanks for updating us on your progress.

Dr. Jarvi didn’t mention diet at all. I’m gluten free, but that’s because it makes me sick. I don’t know if that has anything to do with my recovery. Dr. Jarvi didn’t recommend any supplements. They gave me a scrip for inflammation, but it made me really tired so I switched to Aleve+Tylenol and or worked just as well.

Hi @NorthernFellow , why Jarvi removed part of the right vas? And why he only reconnected the left side?

Thank you,

Dr. Jarvi’s preference seems to always be to make the most conservative choice when possible. Meeting with him was like being on a very fast moving assembly line. Everything that needed to be done got done, but man… we were moving so fast I didn’t have a lot of time to pick his brain over every decision we made. The way he put it, he preferred to put things back together where possible, but because the right side was giving me the absolute worst of the pain, that’s where he did the most work. I couldn’t honestly say why he didn’t remove the vas on the left side, but in terms of final outcome the left side gives me absolutely no trouble anymore, and the right side still gives me some discomfort. Of course, I also had a varicocele (varicose vein in the scrotum) on the right side, so he might have chosen to remove the vas on the right to avoid fighting with that mess. Sorry I don’t have a better answer – honestly the whole process was so fast that I sometimes felt more like a spectator than a participant lol

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Do you know if he removed the epidydimis as well or just a portion of the vas?
Sorry about the inquiry, but a Dr. told me that he would do something like that…

Only a portion of the vas.

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Remarkable recovery @NorthernFellow. All best mate

Am glad to hear of your great recovery process. It gives me comfort that am in good hands when I move ahead with my reversal. Am in a perplex situation because my pains are very low level daily and only affected post ejaculation so its manageable. But mentally I still struggle with the decision of accepting my new normal vs moving forward with a reversal…

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Best of luck to you. I hope it goes well.

Did dr. Jarvi talk about longer recovery times? I am 10 months post reversal and have pains at connection sites still. Hatd to believe I am still in pain, making me feel like the reversal didnt work and I am screwed.

He told me that the pain usually ramps up within 10 days after reversal, and then gradually comes down over the next weeks and should progressively improve over the next six months.

Going by what he told me right before we started the surgery, if I remember correctly, only about a quarter of guys will have an really excellent outcome after the kind of procedure I received. They kept saying in the hospital “how well I did,” but given that I was unconscious I don’t know how much I really had to do with it? I feel very lucky to have made such a strong recovery.

On my 3-month check-in by phone with Dr. Jarvi, he said that I’d continue to improve up to 6 months after the surgery, but if not, or it got worse, then I was to request further consultation with him in terms of more aggressive treatment (which for me would have been either a denervation or orchiectomy.)

hey @mklamut79 did you get a reversal done by Dr. J as well? Am sorry to hear of your slow recovery i guess a recovery from a reversal is also non-linear… I have read from this site it can take up to a yr or longer to recover from a reversal just like some guys take up to 2 yrs to a recovery state post vasectomy like me!!

Hey @NorthernFellow I hope you still recovering well and continue to get better. Question regarding the side you got an open ended conversion how are things on that side do you feel any epi pressure or any autoimmune issues? Thinking again of an open ended conversion vs reversal for my epi issues…

Mostly, I no longer have any problems at all. The acute, stabbing pain that I used to frequently feel high up in the right side of the groin is almost entirely gone, and only once in a rare while I still feel a little bit of short-lived discomfort in the same place. Regarding the testes and epididymis (epididymi?) I no longer have any pain or discomfort on either side. My understanding is that Dr. Jarvi preferred to restore the natural function where possible, and only do an open-end treatment for the most severe pain. I apologize that I can’t be more specific – I had really limited time with Dr. Jarvi and it went by like a whirlwind. If I had known better before I went in not only what questions to ask, but in what detail to ask them, I could have done so, but at this point I’m left only with my memories and to be honest they’re not improving over time LoL

Dr. Sabanegh at cleveland clinic. Just hoping for a miracle soon bro.

Thanks @NorthernFellow for all your feedback and detailed notes it gives me inspiration that i too will have a same successful outcome. My reversal is scheduled for next month!! Any recommendations during recovery any specific meds or regiment that will help with recovery?

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Who are you going with @NC79? Do not attempt to do anything for the first 2 weeks, anti inflammatory medication helped me no end, and Dr Marks keeps mentioning them on FB forums all the time

I didn’t even need ice after the reversal. The anti inflammatory they gave me was too strong for me, so I did Tylenol+Aleve. Other than that, buy a few pairs of snug, very supportive underpants. When the pain ramps up again after 5-10 days from surgery, just take it easy. There really isn’t much else to do.

You had remarkable recovery!