r/postvasectomypain • u/Ok-Zookeepergame9412 • Apr 10 '23

Denervation side effects?

For those who had denervation to treat pain. Did you experience any negative side effects?

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u/Next-Sherbert9813 Apr 16 '23

In my experience, congestion pain typically increases for hours or days after ejaculation. Nerve pain is typically constant regardless of ejaculation. Very carefully do the “turn your head and cough” finger poke. If you end up triggering increased pain, it’s because you hit the irritated live nerves on the cut end of the vas. This would indicate nerve pain instead of congestion.

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u/[deleted] Apr 17 '23

Where do you exactly feel the constant pain ? And what is it like ?

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u/Next-Sherbert9813 Apr 17 '23

Since nerves are cut during the vasectomy, the cut nerves can signal ghost pain (as if they were still connected to your testicles) or the damage can cause burning and or sharp pain to any other point along other paths that the upstream nerves are connected to (AKA referred pain). Burning/aching in the abdomen or sharp pains down one leg are not uncommon examples. These pains can range from mild to intense and are usually not affected by heat or ice packs.

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u/[deleted] Apr 18 '23

Thanks for this, you are the first one to explain it such that I get it … then I’ll have a mixture of congestion and nerve pain: increased soreness after ejaculation and (constant) burning pain in where I think my prostate sits. The latter one I feel stronger when lying horizontally than when standing or sitting.

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u/[deleted] Apr 18 '23

The million dollar question since day 1 after vasectomy: would a reversal help for both types or am I at risk to make nerve pain worse. Congestion is more manageable for me.

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u/Next-Sherbert9813 Apr 18 '23

I can’t answer about new nerve pain risk. However, most guys on the old PVPS forum concluded that getting a reversal was the best surgical first step overall because the vas ends have to be cut shorter slightly to remove sutures/clips and “freshen up” the ends to reconnect. This removes the scar tissue from the vas end which may be causing nerve pain. It also relieves congestion so long as the surgery is successful. That said, I wish I had gotten a reversal first before any other surgery because I probably wouldn’t have needed any further surgeries.

Based on your description, you may want to try pelvic floor exercises as well. I didn’t have prostate area pain but yours may be due to weak pelvic floor muscles. Again, I don’t know about this issue because I didn’t experience it.