Post Vasectomy Pain Forum

Interesting article about TENS unit

I get very temp relief of testicular pain when I press into my lower abdomin so I wondered if a TENS unit on the lower ab could help disrupt the pain. I found a supporting study online. Going to try it next week when I get home. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5749563/

Hello there, Seeing your post made me remember a trial I subjected to about 9-10 or so years ago. And just wanted to let you know that there is a procedure that neurologist does do where they put electrodes lead wires like in TENS unit but inside your spinal column. This treatment is usually used on patients who have lost a limb and have phantom pains in their extremities or ends where they had limbs before.

After much debate and thought with my lovely wife and my Family Physician, then a required sit down with a Psychiatrist (to make sure I wasn’t just doing self “mutilation”/harm) I had a trial done, before I would make a full permanent commitment. It was done like so – In a trial a small incision was made in my lower back over spine region then a small steel rod was placed inside the spinal column hollow space with 2 wires coming out the back to a controller (like TENS unit) towards front my hip area. Being this was trial the rod was free floating inside my spine and not fastened with some clips as it would be in permanent procedure and controller be under your skin inside abdomen( what I was explained). Controller was then tuned to be able to “vibrate” my whole belt region, just groin region, my left inner thigh down to about past my knee and then all regions together.
Went home and I was still very worried how a metal rod was free floating inside my spine, I was actually doing little bit of welding back in those days and Doctor did assure me that it wouldn’t zap me or drop me like a fish out of water if I let’s say electrocuted myself by accident. It was not very pleasant feeling to have unit on and just turned up. Because from time to time I would rise form couch or chair and get weird jolted. I was still barely getting any relief from the unit running full setting.
So after calling on day two the Salesman/Rep for the Unit wife and I met him at local hospital to let him “tweak” settings I explained to him that sadly I still had no true relief. Just a weird feeling like my groin been vibrating for hours. Anyway, so about two more days later I was ready to yank this rod out my spine. Wife called the Neurologist office and we met at his office to remove this. IT was a FAIL. After reading the Controller the Rep did say I should have ran it longer periods I might have gotten better results. So its like saying I should have had it running 16 hours non-stop, yeah No thank you.
So take it with a grain of salt…Might or might not work, plus depends what kind of Unit you thinking about trying. For me whole experience was not very pleasant and very unforgeable. I do see this as treatment for patients with amputations and phantom limb pain but not for groin. I recall telling that to the Rep

I’ve been using the TENS unit for about a week so far and have noticed significant improvement of pain symptoms. I wear the device for 30 minutes at 100hz but with a modulating pulse width. I had been having pain that I’d rate 2 to 3 for about two week prior to using the TENS. Since I’ve used it it’s come down to mostly 0 with a casual 1 briefly. I will continue to use the TENS and up activity level. I’ve had short bike rides so far, but would like to try jogging soon.

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Where are you placing the electrodes? Assume not directly on the scrotum but in the groin.

I used a TENS for my perineal pain. It definitely helped.

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Upon reading the article it appears they go on the super pubic area. That’s the area below the belly button. At first I place them not low enough and I could feel my lower ab flexing. Not a good feeling. Then I went just a little lower and that worked. I used it every day last week except today, and my pain was at a 2 and 3 today. I’m going to use again first thing tomorrow morning.they should be about 5 cm apart. I did my best.

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@raising4girls and @Ra525, are you still using TENS? What’s your longer term experience? Sounds interesting

I use it only as needed. Sometimes I dont need it for a few weeks. I will probably use it today. It usually leave it a little longer than 30 min. Or I’ll do it twice for 30 mon each. But usually not for more than 2 days. Often I get 50 to 90 percent relief. Sometime though it’s only maybe 10 percent. I find less intensity is better especially when starting after not using it a while. Higher intensity exacerbates mine pain. I shave public hair and use a sticky gel to help the pads really get a good bond. I hate the stingy feeling of a poor bond. Then carefully pull my pants up and the tens unit in my pocket, hide the wires and I go about my business.

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If this works for me…I’ll need to find a more portable unit, the “H-wave” comes in a small suitcase. Thank you for sharing your encouraging story!

I did my best to figure where to put the anode and cathode in the suprapubic area based on the article. Too high and I can feel my low abs flexing, which doesnt feel right. I thought the tens might work for me because if I press deeply into the area below the belly I can feel a relief almost like a pressure point. I’ll actually do it for 2 or 3 seconds on the anode while the tens in on.

I never got much results for the scrotal pain. I did, however, get tremendous benefit from the TENS on my perineal pain when that flared up. Put the electrodes below the scrotum on the inner thighs. Worked like a charm.

I ordered a unit today, will try to work on my lower back, abdomen, maybe inner thighs as @raising4girls pointed out, to see how close I can get to the hot spot area (what’s called “suprapubic” in the article; btw: could unfortunately not find any other article about TENS and scrotal pain).

That is pretty much the same plan my PT suggested, starting with lower back as that’s where these nerves originate and working down the chain as tolerated. maybe 30-40 minute sessions. Certainly has a trial and error feel right now.

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One more article that I found…may be helpful to some as it has a picture with electrode placement.
International Journal of Medicine and Surgery 2015

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Thanks for sharing. Wonder why there are no papers published in the Western Hemisphere ?
I’ll give it a try, and in the worst case I’m going to use my unit for massage and relaxation…

That’s my approach: day 1, low back, no change. Day 2 inguinal placement as per article. Symptoms flared. Will give it a rest for a few days and try shorter times or lower intensity.

Regarding under-representation in the literature: it’s not a surgery nor a medication, but like pelvic PT- largely self-directed treatment. Sorry, the cynic coming out again.

My husband just had a DRG (Dorsal Root Ganglion) stimulator placed a week ago at Stanford after a successful trial. He has had 6 years of constant groin pain after a botched vasectomy reversal. He has had 19 surgeries spanning the continent. This has given him more relief to date than any procedure yet. Time will tell-but you shouldn’t rule this out. This is not a portable TENS unit, this is an implanted generator with various leads into a very specific location along the spine that is involved with groin pain.

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Tried my unit today for the first time, lower back. Tickling sensation feels good; was supposed to go deep. Didn’t really help with the pain. I’m afraid placing it near the scrotum, in the front, so probably won’t be of much help. But will keep using it, if not for the pain directly, at least it relaxes the muscles.

Hi, guys, a newbie fellow in trouble from Argentina here.

Did any of you continue with the TENS? How did it went?

Thank you for any update that you could post!!

Hi @raising4girls , part of my PVPS is perineal pain. I don´t fully understand where do you put the electrodes (sorry, english it´s not my native language), the “below the scrotum” + “inner thighs” got me wonder where you put them. Like, you put then in the inside part of your legs o right below the scrotum a few inches apart?
Thank you very much!!!

Yes, exactly, inside part of the leg below the scrotum but very close to it. In fact, I had to find a way to lift my scrotum so it wouldn’t come in contact with the TENS pads.

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