Hello all - I have to say I’m both glad and sad this forum exists. I’m sad to see that we were all mislead about the possibilities of having issues but I’m glad we can all be here for each other and hopefully some of us can get better! My doctor said he has yet to have any patients with any long lasting pain because he is so quick to treat anything that comes up and is aggressive in finding out what the problem is. While he has been great in being responsive, seeing me on short notice, responding to me personally via email or text message… I’m still in a ton of pain. I’m going to share some of my emails and visit notes, for hopes that either someone has some sort of idea what might help, or maybe my experience will give clue to someone else.
My only other surgery that is somewhat related (at least to the area) is when I was younger, elementary age, I had gotten kicked pretty bad and it caused a Varicocele, which they repaired.
I know, I know… I’m only 3 weeks (today) post vasectomy but I was told that with 48hrs I should pretty much be recovered and the vast majority of patients don’t have pain over a week. My wife knows a few people who have had it done and they were all up and going within 2-3 days, still pain free months later. That’s my luck I guess.
The procedure itself went well, other than the IV stick for the sedation (not a fan of needles), I didn’t feel anything. Had the expected amount of pain going home and the next 1-2 days… but then it just didn’t go away. I had been given a few days of an antibiotic and told to take IB prof for swelling and pain. I ended up getting pretty bruised, but swelling (at least externally) wasn’t terrible.
Bactrim DS 800 mg-160 mg tablet
Take 1 tablet every 12 hours by oral route for 3 days.
tramadol 50 mg tablet
Take 1 tablet every 4 hours by oral route as needed for 10 days.
I emailed him about a week after my procedure and mentioned I was still having pain, he asked me to come in immediately as it was not normal. I ended up seeing his PA who took a look and his exam was extremely painful. He believes it was Epididymitis and gave me the below. Said he was almost certain I would be feeling better within 2-3 days and to let them know if not:
- diclofenac ER 100 mg tablet,extended release 24 hr
- Medrol (Pak) 4 mg tablets in a dose pack
- ciprofloxacin 500 mg tablet
I emailed him after a few days and let him know there wasn’t any progress. He asked me to come in and see him. He took a look, said he could feel some swelling and asked that I give the medicine cocktail a bit more time to work. Said to let him know the next week if I wasn’t any better.
right epididymis tender to touch on exam. No evidence of large hematoma or spermatocele on exam.
pain likely due to small hematoma of spermatic cord.
Pt advised to continue current regimen, expect pain to improve with time.
After the exam, few days went by, and sent him a follow up
I’ve been in extra pain, the tubes/veins or whatever come down into scrotum from the top appear enlarged and are painful to the touch. The pain even travels into my right leg. It doesn’t appear the pain radiates from the testicle but mainly from whatever that cord is, which I’m guessing is the spermatic cord.
He asked me to come in. They did a nerve block. OHHH MYYYYY GOODNESSS. That was literally the worst pain I think I’ve ever experienced. Said I may need to have Pelvic Floor Physical Therapy.
Exam showed improved swelling on bilateral testicles.
Advised pt his condition is consistent with musculoskeletal cause with some inflammation to the nerve arch.
We performed an ilioinguinal nerve block in office today due to persistent pain.
We recommended PFPT to follow up in order to further to treat the musculature.
Will send valium 5-6 days to relax and abdominal and PF musculature to increase efficacy of the nerve block.
Pt told to contact the office to update on pain status.
After the nerve block, I was 100% numb for a good few hours. Was an interesting experience, especially when trying to urinate. Majority of my pain was gone, except for a random shooting pain that only happened maybe 1-2 times… and then all of the pain came back. He asked that I send him a follow up message that evening and let him know how I was doing and that I hadn’t received the Valium yet:
- Random sharp shooting pains on left side, almost like the needle is back in (7 scale). Feels like mainly upper area but sometimes it’s a sharp pain in the left testicle. Both hurt when touched.
- Random pain in the testicle where it feels like I’ve just been kicked, or they are being squeezed. Side it happens on is random.
- When the random pains aren’t happening, it’s just a constant ache.
- Have to continue to wear a jock strap, even tight boxer briefs do not provide enough support.
He decided he wanted to do some imaging and sent me immediately for a PELVIC/ABDOMEN CT W/ CONTRAST. He called me late that night with the results. Said for the most part, everything looked normal. Still believes it’s a mainly a musculoskeletal issue and said it appeared I was constipated .
Focus of air in the right inguinal canal and in the left hemiscrotum likely
secondary to ileal inguinal nerve block performed.
There is a marked amount of stool seen throughout the large bowel typical for
Mentioned it’s normal to have the pain of the surgery cause you to tense up and get blocked up. Told me to get some medicine and try and clear out over the next few days and to try the valium. Told me he was available via phone/text/email for me to update him over the holiday…
So that’s where I am… Just got my valium earlier today, no change in pain. Still wearing a jock strap as it is way more comfortable than not wearing it. I’ll tell you, as I’m sure many of you know, this is truly mentally draining. Especially reading so many of your stories, that the pain really never goes away for you. I can’t do many things I used to and I can’t even imagine trying to do anything intimate with my wife, I’m sure that’ll only make the pain so much worse. The thought on the pain is pretty consuming, all day, every day. Don’t get much sleep at all, unless I take something for pain or take one of the few Xanax they gave.