It’s becoming increasingly clear that i’ll have to make a decision about whether to pull the trigger on the vasectomy reversal. Just some rough background: I’ve never been in that much pain—nausea has been my primary symptom–and i’ve seen some improvement over the past few months with drugs (first nortriptyline, now lyrica). I didnt have much improvement with pelvic floor therapy, acupuncture, or GI interventions (i.e., GI ruled out GI issues causing the nausea).
I’m now enduring mild nausea pretty much all day, everyday, usually just irritating/uncomfortable but sometimes worse. I’ve got some testes pain (down low, epididymus area), mostly nagging but some sharper pain, at times. I think i’ve finally nailed down that congestion is the root of the pain/nausea. 3 of the 5 urologists i’ve talked to have seen nausea as part of PVPS. Dr. P (formally of PUR clinic) strongly recommended the reversal. My current urologist (Dr. Dean at GWU) is more reserved—he thinks i have about the same likelihood of it helping (i.e. ~70%) as everyone. He also describes the risk of other complications at 1 - 2%—about the same as vasectomies in general—and I was curious what others think. Is it dumb to get a reversal given that i’m not in tons of pain? Or is it worth the relatively small risk of making things worse given that it is likely to make things better? Is there anyway to know whether i’ll still make progress without surgical intervention? Any thoughts?
Dr. Dean also describes a reversal recovery as not much worse than a vasectomy—does that sound right?
Any nausea folks out there? I can live with this mild nausea for a while…if I knew it would eventually get better i could live with it for a long time. But I can live with it forever, and i really just want to get my old life and my old self back.
Looking for opinions.