I have a reversal for pain scheduled with Dr Burrows at ICVR on July 1st (this Thursday). I’d like to say I’ve come to a clear process around this choice, but the reality is that I’m terrified of going under the knife again and have come close to cancelling multiple times.
I had my vasectomy 3 years ago. For the first 12-18 months, I had significant off-and-on nerve pain in the balls. A maddening dull pinching ache. With time, this has diminished to more-or-less zero local nerve pain. I’m able to be pretty active and live a normal life.
What I’m left with is:
- Often a full, lightly bruised feeling in the balls – esp after sex/ejaculation
- Discomfort with extended sitting (esp long drive/flights) that radiates down into the testicals and up in the inguinal area, groin, and abdomen.
- Less satisfying release with ejaculation… a sense of needing to “squeeze” the semen out.
- Higher levels of anxiety. Even very low level sensation (see 1) seems to cause anxiety/distraction for me.
If I stay active, avoid extended sitting, do stretches/yoga, and keep my mindset positive then I feel fine most of the time. In many ways I’ve escaped the worst, which makes the reversal decision difficult.
As I see it, reversal pros are:
- ~80% chance of seeing some improvement to symptoms
- ~50% chance of complete resolution per Burrows (although I don’t see these stories on the forum much)
- By reversing now, there’s less chance of upstream epi blockage that could create new problems
- I’ve already paid for it so it’s free now…
- Likely looking at 3-6 months to getting back to baseline (oof)
- Low (1-3%?) risk of ending up worse off
- Chance of regression later due to scaring/pulling on reconnection site later
- I’ll be fertile again
I realize that there’s no knowing what the right choice is and I have to make a decision. But thoughts/reflections are appreciated and I’m reserving the right to change my mind until the day of. No amount of sunk cost is worth getting a procedure I don’t need.
All this said, I have some optimism that if I get the reversal I’ll have closure to have given it a shot and, assuming a normal distribution outcome, that I can live with the results.
@Ethan_Scruples I’m interested in how this matches your own process, as last I knew we were at pretty similar junctures.