That is definitely the very short answer regarding signs and symptoms and which may be a better option - reversal or denervation. Epididymal hypertension is the scientific term for the slang term blue balls. Sperm granuloma among other things is included in congestive symptoms.
There are pros and cons to both procedures and nobody should be unaware that these procedures tend to not be created equally. All reversals certainly are not created equally and the same can be said about denervation. I have written a very long thread on the reversal aspects.
Years ago, I can remember hearing from dr/surgon so and so that having a robotic targeted denervation first was a smart idea as the vas/s and such are left in tact and it was a less invasive procedure. From there, he/she suggested that you can always have a reversal after the fact like that was some sort of smart ideology.
I certainly didn’t agree with dr so and so’s philosophy - ever, and neither did a lot of other people. All at the same time, it really doesn’t matter what I or others agree with or not. People are going to make choices for themselves on this site - not vice versa. What’s best for them, what’s best for their potential family, etc - it’s their life and nobody has to live with their decisions but themselves. Different strokes for different folks. As long as men are making truly informed decisions for themselves beforehand (details, pros cons etc’s), that is the most important aspect to me.
It would probably help to understand the rest of the OP’s timeline of events, his other comments, etc. All of that information can be found with ease on this site. As I recall, he had a reversal first and more less jumped into having targeted denervation without considering all of his options. Considering his pain levels beforehand, his options included waiting things out for an extended period of time. The reality of the pros and cons of having targeted denervation done to himself beforehand (is it worth the risk) - or any version of denervation for that matter. I feel pretty confident that his doctor/surgeon suggested it was a good idea to proceed with further surgical intervention as well. The idea that he/she didn’t recommend it to this gentleman seems rediculas and unlikely to me.
As I recall, the reversal this gentleman had beforehand helped him, and post denervation he wished he’d just left things alone and banked on getting better all the way with just time alone or something along those lines.
Keep in mind that the outcome of the OP of this thread hasn’t been updated in over 2 years. It’s hard to say how this gentleman is doing today.
FWIW, anyone can click on his username (or anyone’s username for that matter) and click it again - then open the expandable tab and click activity to read all of their posts on this site in chronological order.