Post Vasectomy Pain Forum

Considering a reversal


Hi there,

I have been having post vasectomy pain since october 2017, had my original vas in april 2017. Urologist at that time said to he couldn’t do anything for me besides pain treatment…I had a second opinion in march 2019 and shots with lidocaine on both sides to determine if my pains were coming from nerves or congestion. these lidocaine shots didn’t help so my problem is congestion related.

Ultrasound in april 2019 showed spermatoceles of 1 cm on both sides and signs of ongoing congestion. Urologist said I can have a reversal but he can’t guarantee that it would solve my issues. He also said to not do anything about the spermatoceles because that could damage the epi’s even more.

I would like your insights on my situation…


anybody an opinion about this?


@duderb Sorry you are here man. I don’t think there’s a lot to really say since there is a lot of similar posts on the forum. Would be worth reviewing all the information on here.

In regards to your situation, it seems likely congestion is your issue, but I’m not sure a single lidocaine shot can’t completely rule out other issues. It would be prudent for you to schedule a consult with a reversal surgeon familiar with PVPS, and get their thoughts/recommendations. Reversal seems to be the most logical surgical approach. However, I would exhaust all conservative measures before going down that route. If they’re unsuccessful, and you understand the risks (reversal surgeons seem to downplay the potential risks), then it would be worth considering the reversal. However, none of us can tell you one way or the other.

Good luck.

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thanks for your opinion. Also think congestion is the issue here, mainly because of the pressure pain and spermatoceles that have formed. Tomorrow got an appointment with reversal specialist, shall ask him some questions and then determine if I am going to proceed with reversal. Already tried papaya etc. but didnt work out for me. Maybe trt is an option to look into. Will get back what I’ll decide…


Keep us posted. Your symptoms sound best suited for reversal from among the surgical options, but remember that all of surgical options carry risks. There are several on this who report improvement from reversal but also several who got worse. I got nearly 10 years of pain relief post-reversal but re-aggravated things 3 years ago. Then there’s the cost angle. It’s very hard for any of us to tell a guy to drop $10-$20k. Only politicians are that cavalier with other people’s money :slight_smile:

Hope you get some clarify from your appointment.


thanks, am from the netherlands and decided to pay a bit more for health insurance (monthly) so that complete reversal costs are covered. my urologist opted for a different urologist in that hospital who is more skilled and specialized in reversal. I know it’s not guaranteed that it will get better after reversal but I think I have to try everything, don’t want to have this condition for the rest of my life.

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That’s exactly how I started feeling once the pain started for me about 7-8 months after the vasectomy. After another 8-9 months of conservative pain management approaches, I had a reversal and have no regrets. Even had a post-reversal child in 2007. I re-aggravated it in 2016 but am about 50% better since then.

I wish you the best.


had the appointment today, doctor has done about 250 reversals so should be ok. 93% patency rate. Doesnt give any guarantee about getting better after reversal but he does strongly believe in the theory about reconnecting the pipes when there is congestion/pressure pain involved. Hospital is going to call me back to make appointment for reversal.

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