I’m reading an article “post vasectomy pain syndrome: diagnosis, management, and treatment options published 2017 by Varsha Sinha and Ranjith Ramasay.
It mentions that, after a spermatic cord block, “of pain subsides after injections of lidocaine up to 1-2 days, then cord block cannserve as a diagnostic test in confirming that the pain is referred to the scrotum via nerves within the spermatic cord and predict response to spermatic cord denerviation.”
I don’t understand how nerve damage during a vasectomy would not be located in the scrotum; how would nerve damage occur higher up than that?
I feel like almost all my pain is located right behind my testicles. The testicles themselves don’t feel too sore and I’m not really getting shooting or burning pain else where. It feels like the kind of pain you get with an ear infection but right behind my testicles.
I just got done with a 5 day round of prednisone and if anything I feel worse; but, I haven’t been taking my usual 2400 mg of ibuprofen for 10 days now. I know steroids can suppress the immune system. Could they also act against the macrophages trying to eat up all the dying sperm?
I don’t think I have an infection of any kind. I’m not worried about an STI, but I wonder if I could have gotten an infection during the surgery and I’ve heard some people say Lyme disease and other random bacteria can start to cause problems once the vas is sealed off. I haven’t had a fever and nothing seems red or infected, just a lot of pressure and aching.