@vasregret - I think you and I need to combine forces on research. I’m becoming more and more certain that I have a pudendal nerve problem (damage, entrapment, whatever). It lines up with my symptoms better than a more traditional PVPS diagnosis and it lines up better with my main form of exercise April-October, bicycling.
Seems like the pudendal itself is buried pretty deep and protected, but many of its branches were out in the open and susceptible to injury, including injury during vasectomy. I didn’t know until recently that the posterior scrotal nerves are branches off the pudendal; I had previously thought that the GF and II/IH were the only nerves in the scrotum.
I’ve also noticed that walking and stretching of the groin and pelvic region helps (a) eliminate what I suspect is referred pain from tension and (b) concentrate the pain right back to where my PT says the pudendal exits the Alcock’s canal.
PN is not a diagnosis either of us want to here. I hate projecting my/our situation onto others, but I can’t help but wonder if many more guys with post-vasectomy scrotal pain are experiencing pain from the pudendal branches. I think this is a plausible argument for the high failure rate of SCD. I believe SCD addresses only the GF and II/IH. If true, and the SCD was performed properly, then I think it’s logical that the pain generator was something else. Perhaps the posterior scrotal nerves branching from the pudendal???