Post Vasectomy Pain Forum

New member - My PVPS experience

Hi everyone.

After consulting with several of my friends who’ve had vasectomies and zero issues, I had one done back in March of 2017 at the age of 47. My recovery was terrible. I was barely able to make it to the bathroom from my bed for the first two weeks. One time I woke up on the floor after passing out.

After that I was treated to random stabbing pains and transitory burning aches for next 3-4 months. Eventually things settled down to the state they’ve been in for a while. My right testicle is pretty normal and rarely gives me problems but the left one is always tender to the touch and flares up to a constant burning every couple weeks. The epididymis becomes raw from top to bottom and orgasm is painful.

At first I thought there were affordable reversal options, but it seems those doctors are only interested in couples looking to conceive. I signed up here to get some guidance on what my next steps should be and what doctors I should talk to. I’m going through a rough patch financially so I’m hoping it’s something I can afford before time makes things more complicated.



Sorry you’re here. I can only speak to the Epididymis issues - if it’s congestion related, use the search function on here and look up “papaya seed.” If that’s your Epididymis problem, that may help alleviate it.

I’d also suggest searching on here for the symptoms you’ve been having as it may help lead you to the right direction.


Sorry to see you here. Tough call. I was not one who had immediate issues with vasectomy but, instead, had a normal recovery with pain onset about 8 months post-vas. If the pain is central to the epi and testicle, I tend to favor reversal; however, when pain is immediate, I tend to think it’s neuropathic pain and that reversal may or may not help.

In your shoes, I’d try the papaya root therapy and/or testosterone replacement. Those reduce sperm production and MAY reduce the pain if it’s congestive in nature.

I would next try non-surgical neuropathic therapies such as nerve-pain meds and injections. They haven’t worked for the majority here, but they can be diagnostic and the odds of further damage from a needle is a lot less than from a surgical scalpel.

I had my vas in March 2005, pain onset October 2005, and reversal in June 2006. My own case tells you I wasn’t as patient as you’ve been, so I would not blame you for jumping right to reversal. But, I tried nerve-pain meds and injections before opting for surgery.

Best of luck.

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@Bry Sorry you’re here. I too had mine done in March 2017. It’s been a pretty rough year.

If money is an issue, I would really look into trying some self care to see if you can’t get the symptoms to diminish. Cleaning up your diet and exercise often help. Most have success with the paleo diet. Look up Amy Stein’s book “Heal Pelvic Pain”. or Susie Gronksi’s “Pelvic Pain” book. They will give you some good advice in regards to stretches, and self massage that could help at little cost to you. Also, look up papaya seed powder, or yarrow tea. They have helped a few on here. NSAIDs(Ibuprofen, Aleve, etc) are often the first medication line, and are OTC, so might be worth trying. Finally, try daily hot baths.

Good luck man. Hopefully you’ll find something that will help you.


Thanks for the replies. It’s been frustrating because every time I think the left side is settling down, it flares up again so I’m losing hope. I thought I had done enough research by asking my friends who had done it. Once I started searching my symptoms on the Internet, I was saddened to find out how many doctors will tell you they have a 100% success rate and then refuse to take you seriously once you have symptoms.

Couple Q’s:

Does anyone know a good PVP doctor to consult with within 5-6 hours of Michigan?

My doctor said he removed 2 cm per side. Is this normal or extreme?

@Bry PVPS Specialists

This is the link for PVPS specialists. There’s a couple at the Cleveland Clinic and some in Toronto.

Thanks. I’m still learning my way around the site. I’m surprised at how many reversals close up over time. You’d think they could put a small piece of tubing inside the junction to keep scar tissue out of it.

Seems some reversal surgeons actually do use a tini metal tubular piece when lining up the inner lumens during a vas to vas reversal. I’m not sure if all of them use a tini metal tube piece of metal to aid in lining things up, but I’m pretty sure a lot of them do at minimum.

I know microsurgical stents have been tried in the past in regard to hopefully aiding in better outcomes far as scarring closed, aiding in keeping the repair open, etc, but to the best of my knowledge, it was a bust.

The worst part of my PVP is feeling so freakin’ fragile. I used to like for my wife to handle the boys and now we avoid unnecessary contact. When I put on pants or have to slide my leg over something, I’m super cautious because I feel like a little surprise squeeze could have major consequences.

I think my next step is going to be the Papaya seed powder. I used to live in Costa Rica and I’d actually eaten seeds from fresh Papaya because people said they were good for you. Haven’t had any since the operation, though. If nothing else, maybe it’ll keep the blowouts away until I’m ready for a reversal.


Started taking papaya seed powder. 1/2 tsp 2x daily. I wish there was a way to get real numbers from this process like weighing my sack to see if it gets any lighter. :grinning:

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Who was the doctor that did the vasectomy?


Well, this is where the story gets interesting. It was done in Costa Rica by Dr. Osti.

I was living there at the time and I felt that everything at Cima hospital was top notch. The doctor had done over a thousand vasectomies and “never had an issue.” The last time I saw him before returning to the States, he assured me that I just needed to calm down and let things heal. At the time I was believing that I must be doing something wrong.

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Mine was done by Donald Moylan. After being assured that the worst that could happen was an infection that would be cleared up with antibiotics, never mentioned pain, his response to my complaint was, “Hey, these things take time.” Because the pain went on for weeks, I was convinced he screwed up. He did, but not as bad as some of these folks. I guess the Hippocratic oath doesn’t apply to urologists.

Well, I started taking papaya seed powder about three weeks ago and so far I haven’t had a another flare up. I’m still having some transitory pains down there, but nothing as bad as the full-on burning and ballooned up epididymis episodes. In fact, everything feels a little smaller than before and this is the best I’ve felt since the operation. I’m also hoping that the powder will prevent blowout damage that might preclude a reversal one day.

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Well, had some left side burning today. Nothing as bad as I have been getting, but definitely sensitive to touch. I’ve been sitting at my computer a lot lately and I think that has something to do with it.

Tonight I’m having a full-on flare up on the left side. Feels like my epi has been simmering in Habanero sauce. I mowed the yard today and my wife pointed out that we’ve eaten an unusual amount of junk food the past few days. Maybe that’s causing the inflammation.

I’ve also noticed that I rarely have good O’s during sex anymore. Although they feel like I’m finished, my O’s don’t radiate out and give me that euphoric full-body feeling very often anymore. I think even when the epi’s don’t noticeably hurt, they’re still sending signals that something is wrong during contractions.

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Yeah, now that warm weather is here, I have to really watch it. I’m renovating my house and dragging building supplies around all day definitely causes a lot more pain at the end of the day. Not really sure what to do since my obligations aren’t going to go away. :roll_eyes:

Although my situation has improved and I have more good days since starting the powder, I still get left side flare-ups. I had the weirdest experience the other day. My left side was bothering me and I usually give myself an exam to see how things are swelling. I felt a lump on my testicle, then realized it was a ridge, then realized it was the lower end of my vas lying across the front of my testicle. I could even feel where it ended. I was surprised by how sensitive it was to pressure, since I didn’t think there would be a lot of nerves past the epididymis. Anyway, it really creeped me out to have my loose end present itself like that.

Actually, there are a lot of nerves in the vas. They control muscles that push the sperm from the testicles up to the prostate area. That’s another stupid lie…the vas is not just a benign duct.


I might as well post a quick update. I’ve been taking the papaya seed powder and things have settled down to the 1-3 level most of the time. My testicles are still very sensitive to the touch and I can still get inflamed if I exert or sit too much, but I feel it is somewhat under control.

I would still like to seek out a reversal at some point because I’m afraid a future blowout could make me no longer a candidate for it. I mean, what happens to me when my epi capacity is drastically reduced by blockage but it still has the same job to do? I’d like to just undo the whole thing but I know the odds aren’t great of it staying open forever.

I would love to know why a stent doesn’t fix the reversal problem.

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