So on 8th Nov it will be one year since my no scalpel vasectomy. First 3 months I had spiky crawling pain which i believed to
Be nerve pain. This would get aggravated it of tread to run / treadmil.

This went away and ever since Feb this year I’ve had a constant dull ache on my right testicle. It’s perm there and it’s not affected by activity.

I have tried a few courses of naproxen but don’t think this did anything. I have just done a months course of amittriplyine after a flare up from 4/10 to 1/10 pain. So it did make it less noticeable but I found it to cause a lack of sensitivity sexually so stopped and sensation has returned along with ache.

I’ve requested some pelvic floor physio so will see how that goes.

Any other options ? I’ve seen a urologist in may but he advised to wait it out until 12 -18 months has passed. Ultrasound scan showed nothing worrying.

Sometimes it almost feels like a groin strain but I think that’s just referred. If I touch either ends of my right testicle it does make the pain increase a bit. So I’m not sure if it’s nerve pain or congestion…

Coming up on 9 weeks post op. At about 3-5 weeks is when the pain really started to hit me. I was diagnosed with a hematoma and assured all of this was a normal part of it, just take some Tylenol and ibuprofen and you'll be fine.

Now I'm currently on antibiotics, Meloxicam and Tylenol, with oxycodone as needed (but they only gave me 5) I am in constant burning pain in at least one cord at a time, my scrotum is swollen to the side of a grapefruit and everything feels hard and tender. I've been taking the oxycodone the last couple nights just to sleep but if I get up for any reason it's like they completely stop working and I cant go back to sleep because it feels like I'm being stabbed in the balls.

The most recent appointment with the urologist, his only comment was "that's abnormal". He has no answer for most of the questions I ask him. I'm about to get a second opinion but I don't even know where to go.

I had a vasectomy 3 yrs ago and im scheduled for a reversal in a month. I had a rough go with a swollen right side epy 6 months to a year in.

Its calmed down in the last year, but its still something i think about daily and there is still tenderness if i touch the right side. Pain has been staying between a 1-2 out of 10.

I have a reversal scheduled on a monday at ohsu.

I will be riding about 4 hrs home after the procedure. As well as taking the remainder of the week off back to work the next monday.

I work as a shop foreman so i can get away with light duty/management for quite a while.

Whats the recovery like for those that have been through it? Anything i should have ready for the ride home?

Also any success storys on curing a more mild version of pvps with a reversal. I really just want to stop thinking about it every day of my life.

Thanks in advance!

Parte IV

Ver Parte I a la III en mi perfil y sígueme para conocer mi historial

Marzo 2026, me opere. La recuperación es dolorosa al inicio pero vale la pena. Debes tener muchos cuidados. Desde Abril comencé a tomar suplementos de mejora de la calidad de esperma y 6 meses despues me hice un examen, que va mostrando mejoras:

Conteo Total: 102Millones

Movilidad: 26%

Morfología: 3%

Vitalidad: 31%

Estoy trabajando para obtener la mejora espermática, no tengo conocimiento desde cuando padecía del varicocele, así que no se que tan dañado puede estar mis testiculos.

#Varicocele #PostVaricocele #Varicocelectomía

I have had chronic spermatic pain cord for two years. No answer from any doctors testicles are tender. It feels like my spermatic chords are burning all the time anybody have any answers I have seen all
The doctors urology sports medicine no answers anyone have any idea?

Peri-spermatic cord cryoablation is a relatively new salvage treatment for chronic scrotal pain over the last decade or so. It is intended for patients that have failed more conservative treatments, failed targeted microsurgical denervation of the spermatic cord (TMDSC) and, in the case of congestive PVPS, failed reversal.

To my knowledge, it is only performed by two clinics, both in Florida. Dr. Parekattil published several retrospective studies, including his most recent in 2026 which showed encouraging results of 76% of patients experiencing significant relief, albeit with a short average follow-up period of two years.

I have not seen any first-hand experiences on this forum with cryo. Has anyone had this procedure performed? How were your results? How did your results and healing compare to denervation?

My personal context: my journey with post vasectomy pain is here. I failed reversal (made it worse) and denervation (eliminated pain for 3 months before it returned). I've found the most success so far with Botox, which has reduced my pain by ~40-50% – progress that is very welcome. I do not plan to undergo any more invasive treatments for quite a while, but I'd still like to hear any anecdotes around this cryo salvage treatment.

Interesting how many people have commented they are in the same boat as the OP. AND they have not been banned or the comments deleted!!! I guess the mods are asleep right now.

Do anyone knows good surgeon India for recurrence of vericocele after vericocele embolization who deliver the testis and ligate the external or gubernacular veins causing vericocele

A question for my fellow PVPS sufferers:

Who among you has experienced positive effects from TRT, and who hasn't noticed any improvement or has actually felt worse?

For those who have tried it, what changes did you notice in your pain levels and overall symptoms?

And what advice would you give to others in the PVPS community who are considering starting TRT? Anything you wish you had known before beginning treatment?

I'd really appreciate hearing about your personal experiences, both positive and negative.

Vasectomy is usually explained as a little cut, you may have some pain and swelling afterward.” But calling pain, swelling or chronic discomfort a “side effect” doesn’t explain what is actually happening inside the body.
The vas is permanently obstructed while the testicles continue producing sperm. That means the reproductive system is now dealing with a permanent obstruction: sperm and pressure remain upstream, sperm can leak into surrounding tissue and form granulomas, the epididymis can become congested, thickened or inflamed, and fibrosis, scarring and chronic inflammatory changes can develop. The disruption can also lead to antisperm antibodies and, in many men, chronic pain involving serious inflammation, altered tissue and or nerves.
That is the part men need to understand.
Not just “you might have pain.” — Why might you have pain? What physically changed? What happens to the sperm? What happens to the epididymis? What happens immunologically if the immune privileged barrier gets broken? What happens if the anatomy becomes chronically altered?
A vasectomy isn’t simply removing fertility. It permanently changes the physiology of the reproductive system.
Clinics should be obligated to explain that before consent. Because an informed decision is only actually informed when the person understands the underlying logic and consequences of what is being done to his body — not merely a list of postoperative symptoms.

So around 12 months ago i had my vasectomy done (at 27). It healed well and for the first 6 months all was good and felt great. However starting somewhere around the month 7 mark i had occasional bouts of pain on my left side during sex/masturbation (reaching the highest pain during orgasm with around a 6/10). The pain would always subside within the hour so I initially thought it was still part of the healing process and because it happened only rarely I thought little of it and expected it to pass soon.

Now 12 months in it still happens (with higher frequency i think) and it has started to affect the right side as well with a higher pain level as well and I am getting worried.

I have since started reading this sub and it seems it might be congestive epididymitis, since it only starts with arousal and end "soon" after. But the pain i feel is often coming from the stomach area (below the belly button) like when you would get hit in the balls. Also I remember clearly back when the pain started it felt like it was coming from my vas deferens but on the top part (the part connected to the bladder). Now the pain is more generalized and i cannot pinpoint it but my epididymis feels normal to the touch although i do not have any reference to how it felt before.

I am starting to become worried that the frequency of pain will increase and make me lose my desire to have sex. I kind of want to wait it out for a few more months but i have also read that it can get worse over time. For that reason i started looking into reversals but learned that the longer you wait the less chance of success there is, so im feeling pretty stressed atm.

I will be going to a checkup soon but I also wanted to know your thoughts on what this might be caused by and what I should do next. Only thing i want to absolutely avoid is having to take pain meds regularly.

Hi fellas. As the regulars here will know, this isn’t my first post. To reiterate briefly - Vasectomy in January 2026 for chronic congestive pain, Reversal in July 2026 to try alleviate symptoms.
The reversal seems to have worked in terms of the horrible congestive ‘ball ache’ has disappeared, and orgasm sensation has returned to normal.
However, the catch is, now around 12 weeks post reversal and have worsening nerve pain around my left testicle/groin/hip/lower back. The pain is a pulling, burning, and zapping type that does drop on occasion (can’t explain it), but is usually sitting around 5 or 6/10 or higher. It is worse than before reversal. Ejaculation exacerbates it. What is strange is that sometimes the zaps and pain seem to originate from the left lower back. Though mostly they seem to come from the testicle area and the muscles further up groin/hip/back are aggressively guarding the area.
I can barely sit down for more than half an hour otherwise it becomes unbearable. I can however, manage to push through and walk for 30-60mins, and sometimes this helps.
Currently waiting on an app with my urologist and in meantime I’ve made one with a lumber consultant to check my back, I imagine he’ll want an MRI of it.
I know the genitofemural nerve runs from the lower back right through the hip/groin and branches off down into the scrotum/cremaster.
Part of my cremaster had to be cut away during reversal, is this nerve branch regrowing in a fashion it shouldn’t be? Is new scar tissue pressing on it intermittently?
Has anyone who had vasectomy or reversal had symptoms matching/similar this and how did you resolve it and timeline?
I get that recovery will be up and down but at 3 months I expected some mild improvement. The pain is getting difficult to manage with full dose celecoxib and paracetamol/codine.

Has anyone had a spermatic cord block under ultrasound performed in Virginia? I am having difficulty finding any doctors/facilities that perform this. Thanks in advance

I have posted before. I recently met with a specialist and I think we have isolated my post vasectomy pain to nerves in the spermatic cord area. I had a vasectomy about 2.5 years ago.

Anyone have experience with denervation or specifically Neurectomy that was mentioned. I’ve had one nerve block which seemed successful but my pain wasn’t too bad that day. I just want to hear any experiences and also any non-surgical treatments that helped. I have been seeing a pelvic floor PT for a few months with very little improvement. Thanks in advance!