I’ve been digging through the old alt.support.vasectomy USENET archive. Very interesting reading. The exact same conversations that are being had today on forums like www.reddit.com/r/vasectomy or the Facebook vasectomy support group were being had more than 20 years ago on USENET. I think it was started by David Brown, who had a website that was the precursor to www.vasectomy-information.com and eventually transitioned to that website. I think @RingoStar told me that David later sold that website to someone else.
Same types of conversations. Bunch of guys who want to talk about vasectomy. All the same topics. Occasionally a poster comes on and describes their PVPS problem. The “regulars” offer some thoughts about why it’s not a problem worth telling anyone not to get a vasectomy over.
Anyway, this is one of the posts from July 2000:
And here is the link someone suggests:
From the linked article in 1999:
Urethral pain, severe pain in the epididymis and testicle, post-ejaculate pain, post-urination pain, post-bowel-movement pain, “groin” pain, knee pain, “hip joint” pain, abdomen pain, and back pain. Pain was of the “burning” or “tingling” type as well as the “pulled muscle” type.
Other symptoms included a weakened urine stream, weakened erection, and weakened orgasm. Various treatments of these symptoms have, at one time or another, included the following: Massive doses of antibiotics, muscle-relaxants, antidepressants, painkillers, and hot baths. None of these “treatments” were effective in relieving my symptoms–not one! Does this sound all too familiar?
Here is an animation to show which muscle we are talking about:
Bottom line, the nerves that get mad when you clip the vas (e.g. genitofemoral) go straight through the iliopsoas and if that muscle freezes up it causes all sorts of symptoms that we call PVPS.
I’m convinced that IP muscle tightness/weakness/spasm/dysfunction/whatever is a significant component for a lot of PVPS guys. That also makes an argument for why some guys get some relief from physical therapy.