I start to think that the proposed surgical “solutions” to PVPS, that are being discussed over and over again (admittedly based on research papers, mostly by urologists), are heavily biased towards reversal and/or MSCD (or targeted neurolysis, Dr. P’s approach), simply because the problem is considered a urological one, and affected men seek help from urologists, and that’s what they can offer.
I question, if one were unbiased, whether it would not be better to consult with peripheral nerve surgeons instead? I believe @raising4girls expressed some similar thoughts in one his posts.
Why not go to an expert for GF and/or II neurectomy and cutting these nerves higher up, after a series of cord blocks to be certain which ones are the culprits, instead of trying to risk a reversal or denervation in area heavily traumatized after the original vasectomy?
In case of the GF it will only affect the cremaster muscle, and I’d like to think I could live without it if I am pain free.