Hi, I am 39 years old. I had a vasectomy in March 2018. almost 6 months later and still having problems. Here is my background:
Possibly relevant medical history: I have suffered from interstitial cystitis/pelvic floor dysfunction since 2002. It mainly causes bladder/urethra pain/urgency/frequency. I have managed it over the years with diet, heat, relaxation, and previously some pelvic floor therapy. Before my vasectomy: After consulting with a urologist and specifically asking about PVPS, I was under the impression that a vasectomy would be no more risky for me than anyone else since I never had any testicular issues. This was a dumb idea.
I had my closed end vasectomy March 2018. The procedure was quick and basically pain-free with no sedation or Valium or anything. Lots of pain after the numbing agent wore off. I iced and rested like I was supposed to. A few days after, I had massive testicular/scrotal swelling, but not too much pain left. I called the urologist and he said swelling was normal. It reduced but was still persistent a couple weeks later, so I went in. He said everything felt fine and it would eventually resolve. At the 3 month mark, I gave my sterile sample and went back in to complain about stubborn swelling and weird sensations. Again, he said just wait it out. This time he said to wait until the 6 month mark.
So now I am almost 6 months out and these are my symptoms: Swelling has very slowly gotten better, but my scrotum will still puff out and get irritated when I do any exercise. My testicles/epis look and feel bigger, heavier, and achier than before the vas. They have always seemed so, ever since day 3 after the vas. My symptoms have cycled one month on and one month off several times throughout this time frame. I even had about a month’s time where I thought everything was going away. Most of the weird nerve sensations are fading or gone, but now for the last 3 weeks or so I have had alternating pain, pressure, and a mild nausea feeling. All of this seems to be coming from my epis, which now feel bigger and “blobbier” than before. My epis will ache off and on all day, and they are extra sensitive. Sitting can be problematic. Straining or harsh exercise is not an option. But sometimes certain mild exercises, like light yard work seem to help for some reason. Sometimes jock strap helps immensely, other times it pushes against them and makes them sore. Sexual activity does not seem to have any significant effect so far.
The good news is that most of the time my pain level is a 1/10 with occasional 2/10. Nothing more than that since my recovery from the acute pain in the beginning weeks. I am currently taking Aleve and doing hot baths. This helps some, but it is not going away. I just started to try papaya seed powder and I can report back on that in time.
Has anyone else had this sore, puffy epi issue and will it resolve on its own? Thanks so much in advance for reading.