It is possible that by doing nothing you could make a near ~full recovery over time. That is one option.
I do know of one reversal study that suggests that at least one man required a redo reversal and that man or those men supposedly went on to eventually become ~pain free - at least in the short run.
When I referred to you as potentially rushing into another reversal, I meant just that. Every man needs to do what they think is best for them, but I am also a believer in giving your body plenty of time to get it together between procedures - perhaps a year or so in-between (+/-).
There are several men on this site (including me) that are not fertile post reversal/s - or are no longer fertile post reversal/s. In many cases, those men (including me) made progress over time to the point where they would not consider further intervention.
Another thing - it “seems like” men in Europe have trouble finding highly experienced vasectomy reversal surgeons that deal with men in pain. I could be wrong about that, but that is my take on what I have seen described over many years by men posting on websites like this one. Whatever the case, there doesn’t seem to be as many there as there are in the states.
Another thing I have noticed is that VR ideology and/or methodology seems to be a bit different country to country. For example - what seems to be a fairly common VR ideology and/or methodology in Canada doesn’t seem to be as common in the states.
A member that is closer to the UK recently posted a rather concerning additional step in VR methodology that is done by a highly experienced VR surgeon in the UK. Up till a ~couple months ago, I never heard of such a thing. That additional step was a big red flag for me, and it was later described to be optional via request, but who knows.
There are numerous posts on this site that highlight a man’s testicles hanging or riding higher than normal post reversal, and post numerous procedures down there. Generally speaking, things do relax and get better over time. I too have experienced this myself in the past and it caused me a great deal of concern, grief, anxiety, etc, but that aspect did get better and/or ~resolved itself over time.
So, when I say don’t rush into anything else anytime soon, I do have your best interests in mind. You have to take everything I am saying into account. You have to weigh out the reality of time regarding the risk versus the reward. And yes, there is a slight risk of making things worse in the long run.
Keep in mind that the risk of making things worse seems to be based on numerous things - including chance or luck. I think some common sense will go a long way on this aspect alone.
If you do decide to have a redo reversal, please choose your VR surgeon wisely. You don’t want to end up back at square one again so swiftly and wishing you had chosen someone different after the fact. To me, that potential scenario would be a critical overlooked mistake on your part. I would choose a VR surgeon based on experience level, methodology, ethics, and follow-up protocols.
To me, poor follow-up protocols generally equals “a VR surgeon that simply doesn’t give a shit” about you or your outcome, or a VR surgeon that has a unique point of view regarding reversals for pain.
When it comes to the fertility aspect alone, having the proper follow-up protocols in place that is turn key from the get go is an important aspect to me. I won’t mention any names, but there are VR surgeons in the states that are excellent turn key VR surgeons and others that simply are not. Please choose whomever you think is the best choice for you. Nobody has to live with these kinds of decisions and/or choices but you.
If you proceed with further surgical intervention and have a redo reversal and it doesn’t seem to help and you feel like you ended up at square one again - what then? Will you be thinking about having a third procedure rather swiftly?
Bottom line - there does come a point where you will have to live with whatever hand you are dealt and bank on the long run (time). Keep in mind that when it comes to things like a VR for pain - the hand you are dealt is actually something that you are somewhat in control of beforehand. Again, choose wisely if you actually go through with a redo reversal. Don’t rush into anything with just about anyone.
I will be curious to know what you end up doing and how things play out over time.
Hope that helps