I had my vasectomy 2.5 years ago. I started to have an uncomfortable feeling of pressure starting less then a week after vasectomy. This feeling would come and go, and could sometimes be quite excruciating. It peaked within a few weeks, and over the next six to nine months got quite a bit better. I’ve tried testosterone therapy, which I feel helped a little bit; and gabapentin, which didn’t help at all. Unfortunately, after about a year, thing stopped improving, and I’m considering getting a reversal.
I’m still very unsure about it, however.
My symptoms are relatively mild, just an uncomfortable feeling of pressure in my testicles. It can be fairly uncomfortable, I feel a great deal of anxiety about it, and I hate wasting mental energy thinking about it; but on balance, I’m not in excruciating pain, just uncomfortable in a way that I would rather not be, and in a way that I find distracting. I don’t have what feels like nerve pain, pain on contact, nor pain during or after sex. Since my symptoms are mild, the possibility of making things worse feels very real and scary.
I can’t know for sure, but I think that my problems have all been related to congestion. I haven’t had what I would describe as pain, just a feeling of pressure which can be quite intense. Given this, my hunch is that if my reversal eventually failed, I would be back to square one.
I’m curious, has anyone out there felt like their PVPS was due mostly to pressure/congestion and had a reversal that hasn’t helped?
Also, in a conversation with one of the people who works for Dr. Marks, I was told that often PVPS patients who go for a reversal that eventually fails still don’t return to the same level of pain. I see how this could be the case if nerve damage is the issue, since a reversal does get rid of a small portion of the vas, but I’m highly skeptical that this could be the case if congestion is the issue, since it seems like the eventual steady-state should be the same. Does anyone have a take on this?
Anyways, thanks for reading. Your responses are greatly appreciated!