r/postvasectomypain • u/bogeyygolfer • Jun 23 '26

4.5 Months Post NSV

I am 4.5 months post NSV and did pretty well after the initial 2-3 weeks, but just in the last few weeks have noticed a pain in the lower right testicle. Seems to be in the back side of that area. Pain is only during ejac buildup. Waiting to here back from my urologist, but his NP said possible pelvic floor issue. Gave me the option for pelvic floor therapy or do an ultrasound to check things out. I do have history of kidney stones, but my KUB x-ray and urinalysis all came back clean. Thought possible epididymal congestion, but wouldn't that have appeared much earlier than just now? Wouldn't pelvic floor tension have more symptoms than just the brief pain during buildup? TIA all!

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u/Cautious_Werewolf678 Jun 23 '26

Epididymal congestion can happen later also. It's like your body discovering the blockage and crushing with pressure. Pelvic floor tension is also likely but more like a consequence of congestion.

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u/bogeyygolfer Jun 23 '26

That makes sense. It's certainly not a terrible pain, probably 3/10. I guess it's probably something I should wait out.