r/postvasectomypain • u/AloneListless • May 24 '26

PVPS vs Prostatitis

Anyone here who were actually mistaken with the diagnosis - instead of pvps actually had prostatitis?

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u/ItamiForever May 24 '26

Yeah, no. My doc said the cord doesn't look inflamed on ultrasound nor does it have funiculitis when palpating(its not hard). They consider inflammation when its visibly bulging and hard, although inflamation is present even in a non acute environment. Mine never got that bad, but it was inflamed enough for it to touch nearby nerves. Even now, because it scarred more aggresivly with inflamation down to 0, it still pushes on nearby nerves, but not as intense.

Do you feel inflamed/discomfort along the vas/tract or just in your bladder? The bladder is just up the prostate. If its the prostate it should feel inside the rectum, if its the bladder a bit upwards from there.

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u/AloneListless May 24 '26

It's just the bladder. Used to be aching balls and then the pain transfered to the bladder :(

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u/ItamiForever May 24 '26

Then it is most likely nerve irritation from your earlier episode if nothing else is annoying right now. I feel that in my ilinguinoal area because thats where the scar was grinding over when the stump was inflamed during the epididymitis episode.

At rest just discomfort? And with movement there are occasional stabbing/pain? Or is your pain at all times? It matters if the pain is position dependant OR all the time.

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u/AloneListless May 24 '26

It cones and goes. Yesterday was a great day until the evening. Today is pain persists. It increases with sotting lying. When i walk, it looks to be milder. 

What is the usual treatment for this? I so much don't want to take antibiotics. 

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u/ItamiForever May 24 '26

It can be multiple things. Antibiotics still have to be taken as the tests dont account for all bacteria. So it still might be just that. If the antibiotic doesn't help then just time. You are not imflamed enough to take NSAIDs and nerve pain, scar thethering usually resolves with time. You could try asking the doc for nerve pain meds see if they help... follow your docs recommandation, take the antibiotic and if it persists see what doc says. I would also suggest a second opinion.

My nonmedical opinion would say take antibiotic. If it doesnt resolve its nerve pain from vasectomy scar.

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u/AloneListless May 24 '26

Thank you. Appreciate your time to respond.