Well, it’s been a while. I needed a break from the site and like most, I did it because I was feeling better. After my last post here, I was in a dark place. 8 days post op from the ganglion impar nerve block and I wasn’t feeling any better. Then, all of a sudden, the next day I felt relief. Over the next couple of weeks I was any where from 50-90% better. Then a little dip, and now I’m back to about 80% better. I’m still taking lyrica but I can say with certainty I was helped by the nerve block. I have another one scheduled next month since repeated blocks may have a longer impact. I’m glad I went to pain management and I wish I had gone 9 months sooner. If you are reading this, I do recommend it since my PCP and urologist had no clue how to treat my pain.
I met with the urologist and discussed potential options. He had never heard of the impar ganglion block! These nerves are involved in sympathetically mediated pain. I still feel that my pain is mostly from the re-connection but he thinks my epidydimis is also affected. It is slightly larger on the ultrasound. When on Lyrica, the pain is diffuse. If I go off it, it gets localized so I will attempt to go off this fall to see if I have improvement and if not I am going to have the re-connection cut out. I may opt for an open ended vasectomy to relieve potential pressure on the epi. Let’s hope no more surgery is necessary!
Summary: inquire about the impar ganglion nerve block. Hope this helps, even temporarily.