10 weeks after vas, still pain. Pain feels definitely as congestion - it is laser focused on the epididymus, and varies from side to side. One day left, other day right.
I’m a radiologist myself. I’ve probably seen thousands of both healthy and sick testicles and epididymuses on ultrasound. They normally have a wide range of sizes. And I’ve definitely looked very closely on my own. I’ve noticed that my epididymuses are quite small and thin, even now 10 weeks in, compared to what I consider the normal thickness of it. Possibly because of my quite frequent ejaculations before surgery (1-3 / day). I wonder if that could be part of the cause for why I still have pain?
The epididymus is really just a very long coiled tube, mashed together like a lump of spaghetti. It’s function is to mature and (short term) storage of sperm.
My own quasi-medical theory, which I have no papers to back: When the vas is cut, if you have a decent sized epi, it will be more robust to absorb the immideate pressure build up and most people won’t feel anything. But if they’re small and slim, the rapid pressure build-up can become too much for it to handle, and it becomes painful. Ejaculations will also cause the epididymuses to contract, increasing the internal pressure and cause increased pain. I wonder therefore, if a possible conservative route away from the pain, is to stop ejaculations completely for, idk, months?, to allow the epididymuses time to gently adapt and increase in size without the extra pressure stress of ejaculations.
Does this sound far fetched?