Post Vasectomy Pain Forum

After 5 years scheduled for Vasectomy Reversal, looking for advice

Short intro:
While I just officially registered to this forum today, I’ve been reading it on and off for almost 5 years now. Got the vasectomy in November 2016 and having “fun” since… While I’m much better that I was 5 years ago, I’m still suffering from PVPS. Thanks to this forum, I was able to find some answers and realize I wasn’t the only one in the situation.
I consulted Dr Jarvi in Toronto in June 2019 and he suggested a Vasectomy Reversal. For a bunch of reasons, goods and bads (change of office, COVID, miscommunication) and the fact that I live in another province, they just recently confirmed a date for the surgery. I could have been this week, but it was too last minute I wasn’t ready. So I’m tentatively booked for December 7, five years after the v day. Now, I’m having cold feet about having the VR or not.
Here is my situation:

  • Never had testicular or classic congestion pain (no pain after sex) and I’m not on medication, never pain at night, just when I move or sit.
  • 90% of the pain is on the right side and seems to be nerve related (however, Dr Jarvi told me that we don’t know). It seem to be concentrated on the right spermatic cord, where it gets a bit swollen sometimes. On top of that, I think I have a varicocele. My pain seems more like an arthritis type of pain, increasing also with stress.
  • While it has been a rollercoaster over the years, it has been better overall, with most days now around a level pain of 2 or less pain except sometimes where it can be bad for a couple days even weeks (3-4 out of 10, mainly in the winter. I can do activities (i.e biking) when I’m in a good way that I wasn’t even thinking about doing the first 2-3 years.
    Now the million dollars question:
    Like most of you who had a VR or consider to do it, after all those years that I’ve learn how to deal with the PVPS, I wonder if it’s worthwhile to take the risk, or if I’m “bad enough” to do it at this point. Like everybody else, I certainly don’t want to be worse and I’m still suffering PTSD from the original vasectomy (in my case an intern was “learning” on me…). On good days, I say that I can live with it and on bad days, I’d like to give a shot. I have the impression that whatever I do, I’ll make the wrong decision. While at the end I know it’ll be my decision and there is not clear answers, considering what I said on my situation and specifically for guys who had a VR, any advice would be appreciated.
    Thanks and sorry for taking so long before writing on this forum.
    Stephane
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Hi, Stephane. Our histories are very similar. I had my vasectomy 5 years ago, most of my issues are on the right side, doesn’t seem to be a matter of classic congestion, I have right side varicocele or thrombosis, and I’m not sure a reversal will help. I previously had microsurgery for right side varicocele but it did not improve the swelling or discomfort

I have appointments lined up for imagery and visits with a vascular surgeon to try to explain the right side “vein” swelling. Right side varicoceles are rare so I’m hoping this surgeon will be able to get to the bottom of why I have those kind of symptoms. I also have a nerve block scheduled but I don’t think that will help anything. I’m just going through what the reversal specialist here wants so I can line up a reversal with him later if nothing else works.

I have another post that I update with my progress. Happy to talk further here too. Seems like we’re looking for the same answers.

Hi vkarnod and thanks for your reply. Indeed our story looks similar, thanks for sharing. It’s funny how people suffering PVPS don’t find a VR to be a big deal, while for us here it seems to be a matter of life or death! :slight_smile:

Dr Jarvi’s approach seems to put things back in place first (75% chances to feel better according to him) and see after. But I think the “see after” is denervation, so no thanks. He told me that he would keep the clips as he doesn’t want to disturb the area when doing the reversal. He also said that he hasn’t seen any patient getting worse after the procedure, but I guess I don’t want to be the first! Anyway, it’s very mindboggling. If I don’t do it, I feel that I will always wonder, should have I tried? Maybe I could have been better. But at the same time, it is easier to deal with the pain/discomfort you know rather then the unknown of the VR. Often, I find it is more of a mental game as it is easy to go to the dark side. Anyway, I’ll have to make a decision soon… Thanks again.

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Welcome to the forum @Stephane and thanks for sharing your story. I’m absolutely certain there are many lurkers out there that just read this forum. View counts on threads suggest that is absolutely the case. I’m glad you finally decided to make an official appearance :wink:

I don’t have any advice for you. There are several men that have posted their reversal experiences with Dr Jarvi. It’s probably a good idea to read those threads if you haven’t done so already

Good luck with whatever you decide to do.

Thanks for your message @RingoStar. Indeed, I was one of those lurkers :wink:) Happy to finally got out of the closet!

Cheers,

Stephane

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This is a tough one because I received the type of pain you are having after the Reversal, and then after the reversal it took about 3 to 4 years to get to where you are. Now I’m mostly pain free. It’s a huge roll of the dice going in for slicing and dicing #2. Most on here will say avoid disturbing the area at all costs.
The questions is from day one to now, how much better have you gotten. In a couple of years that pain level of 2 occasionally may get down to zero. It took me about 7 years to progress to mostly zero pain. I pretty physically active, stretch a a lot and eat healthy and I think that helps. Also just getting older with most likely less sperm production so therefore less pressure down below. Since it’s not an emergency surgery and you can reschedule at any time, you may want to wait maybe one more year and see where your at. Also might want to consult Dr. P down in Flordia, he’s the expert in these things and let him give you an opinion. If say after a year you haven’t improved at all I’d say go for it. Also say from 2 or 3 years ago you haven’t improved at all I’d say go for it. I could feel a little bit of improvement every year, say 5 to 10 percent. If you haven’t been improving “at all” over the years, I’d say go for it because the chances of getting to no pain is probably slim. However, I would consult Dr. P and get his opinion before anything. I don’t think he’d charge much for a zoom call.

Thanks @gwhitman I think it is the post I needed today. The last couple days, in fact since I finally have a date for my reversal, have been pretty tough. I woke up at 4:00 am every morning and that’s the only thing I think or want to talk about. I’m driving my wife crazy… and I’m not the greatest dad with the kids… It’s always the same thing, if I do it, I don’t want to go back where I was 2 years ago or worse. Just thinking about it and I have PTSDs. If I don’t do it, it’s always about the what if thing, could have been better… I’m just not sure that I’m ready both psychologically and physically to have the surgery.

To answer your question, yes I’m much better that I was since the initial vasectomy. But you know, it is not linear, and some days, I feel that I am at the same point I was 2-3 years ago for example. Other days, I’m much better, and I’m doing things I wasn’t doing 2-3 years ago. It’s hard to say. I feel that I’m really slowly improving, but when I have those set backs, I feel like shit. That being said, I think I’ve jsut had the best summer in 5 years, but the last couple days have been bad, thanks to all the stress…

You’re right, it is not an emergency, and it could still be done later. Like many of us here, it is just difficult to accept our condition, but I think we have to live with it to the best we can. I know that some guys here are much worse than me. I’m lucky enough that I’m not on medication and att least, finger crossed, it doesn’t affect my libido/sex life. It’s just that it always there to remind me that I made a big mistake 5 years ago… Geez what’s the mind can do!

I have a phone call appointment with Dr Jarvi scheduled for next Tuesday, but I know what he’s going to say. That I have a good chance to feel better, he’s had good success, I’m a perfect candidate, not much risk, etc. It’s probably going to mess up with my brain again, but still, my guts are telling me to cancel the reversal for now and that’s probably what I’m going to do. I know that I’m going to curse about my decision when I have bad days, but you know… I’ll keep you informed.

Good suggestion, I’ve never really thought in contacting Dr P, certainly something to keep in mind.

Thanks again for you message, I greatly appreciate.

I had mine done in July, took about 2 months to recover, its worth it, better orgasms, a “complete and whole again” feeling, and no more congested balls feeling

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I’m glad it worked well for you @Spauldos.

I never posted before but I feel like I should add my full story at some point. 18 months out now and my pain and experience sounds very similar to yours @Stephane. Vas seemed ok for a few days then significant pain and pain going up nerves into hips, groin, abdomin (especially after exercising). Roller coaster for 16 months. Feels like combination of nerve damage and congestion. I have been very close to getting VR and found someone very experienced in this area. But I didnt want to make things worse. Things have been up and down for sure, sometimes very down, rarely very up. But in the last 2 months I have turned a massive corner and VR looks unlikely. Here is what worked for me:

  1. UFM underwear with the draw string. Big difference. Seriously changed things.
  2. Anti- inflammatories. 15mg meloxicam about every 2-3 days. Also hugely helpful. I dont want to take this long-term but the usual short sharp course didnt stop pain coming back. I might be on it longer term.
  3. 1 teaspoon papaya seed powder per day. Dont know if this helps as started it in conjunction with the 2 things above.
  4. Supportive underwear in bed (medium support).

Thank you to all who post on this forum. I could have been swallowed up in the medical round-about even more if not for this forum and it has provided me with a healthy dose of scepticism.
I wouldnt definitely not recommend get cut open again until trying everything conservative possible.

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