Vasectomy Reversal

Yes at Nottingham, Duncan Harriss I think he is very good.

Hope it all goes well.

 

Hi David.

Thanks for your reply.

I guess you got your vasectomy reversal performed by Mr. Harriss ?.

Did you tell him about your post vasectomy pain syndrome ?.

Best regards, Nick.

 

Hi Nick,no Mr Harriss did not do my reversal, but I know he is good. And yes I did of course tell the urologist, who did my reversal, about my aches, pains, shooting pains, vibrating feelings, ect. and he said typical PVPS.

The urologist I used has retired now.

Hope that is some help,

Best regards David

As you guys know I wish to get a vasectomy reversal with the goal of relieving this post vasectomy pain so I can try to live a normal life again.

How does the urologist make sure there are no problems for example, too much of the vas having been removed at vasectomy ?.

How does the urologist check if there is a sufficient tube to perform the reversal or not ?.

I only wish to get a vasectomy reversal if its possible that it can be performed. I don't want the urologist to make a cut / incision in my scrotum and then tell me when I wake up, that it was not possible to perform a vasectomy reversal.

Do they make a ultrasound of the scrotum first to see if there is a sufficient tube to perform the reversal or not ?.

Does any one know about that ?.

Thanks in advance.

I wish all you guys in here a good day. 

Positive thoughts, 

Nick.

Hi David.

May I kindly ask you - How do you know he is a good urologist ?.

Do you know any one who suffered with post vasectomy pain, who had a vasectomy reversal done there ?.

Best Regards, Nick.

 

Hi Nick

I have an appt with a microsurgeon next weds regarding reversal, as I had my vas in Jan and have been suffering from groin pain. I think he tells you there and then if you can have a reversal or not by examination. He predicts 95% are okay. If not he advises cutting away the scar tissue and cauterized wound and converting to an open vas. Thie may help with congetion issues as well as clearing up the scar tissue, that may be impeding nerves (as I think in my case) and hoepfully resolving the situation.

PS before any of the above have you also considered ejaculating a few times, despite the pain to see if it all settles down in a few weeks? Probably you have but I mention it because PVPS can rear its ugly head out of nowhere but also dissappear just as randomly.

Problem is ALL types of vasectomy carry risk of PVP as evidenced by research.

It really is luck of the draw as to whether a person gets it or not and as it has a ten year period to appear it is still too soon to say after techniques limiting it. Many Drs only follow up for a smaller time frame then this.

And again whilst Abby intervention can reduce pain it can also increase it.

Hopefully one day they'll be honest about risks, time frame for risk and once they do that perhaps they'll make serious inroads into researching exact cause, rather than trying to say this method is better a less risk when unless method had been around for ten plus years with zero cases noted trying to pass it off.

Base line is any form of vasectomy carries a one in ten risk as very bare minimum of gaining a lifelong painful condition

I agree that all vasectomies carry some risk but not all the same risk. A really clumsy slash-and-chop job that permanently closes all the ends of the vas could have a risk of PVPS higher than 10%. But a very careful no-scalpel open-ended job by a highly experienced specialist could reduce the risk to less than 1%.

Big difference. The risk of PVPS is cut by over a third with the open-ended technique alone - because the fluids from the testicular end can be released there is much less pressure buildup in the epididymus. Careful and experienced implentation of the low impact no scalpel technique reduces the risk further, because there are several nerves and blood vessels that can be severed or injured in this procedure, but an experienced specialist will work gently around these tissues to minimise trauma, and because with keyhole surgery there's much less risk of infection than the two incisions traditionally employed. It's not just about the method, like any surgery complications are less likely when the surgeon is careful, meticulous and experienced.

These techniques have been around since the eighties but doctors have been so slow to adopt them that most vasectomies are still done the old skool way, with much higher risks. In my opinion this is what's really wrong today - anyone asking their GP for a vasectomy should be informed that there are many different types and the pros and cons and risks of each and how important it is to find a very careful and experienced urologist. I had read around the subject carefully for a long time so I didn't even bother going through my GP, because I feared I'd get the old skool treatment, and instead I chose a specialist who has done over 3000 vasectomies and uses the latest low-risk method. If you're willing to wait a few weeks longer you can get referred to the urologist of your choice and still get it done on the NHS.

I can appreciate that if you're one of the really unlucky ones then the pain can shout louder than all the statistics. I'm not writing this for those in pain but for any reader who is considering having a vasectomy and is put off by the risk of PVPS. After reading all the horror stories on this forum I still went ahead and got it done, trusting the stats in all the science papers I could find, and now I have no regrets. If I get PVPS later on I'll be sure to update this thread!

Are you still free of pain? If so, who was the urologist that you selected for your 'no scalpel open endeded' vasectomy? I am also researching it and your approach makes sense to me. Happy to pay extra to go private and travel a bit, if its means reducing the risks...

Hi

al also went for a complete reversal several years ago. Initially bmy balls were black and blue and I had a lot of discomfort. When that died down I was still left with pain, but gradually at a reduced level. 

I remember waking king up and thinking about nothing but the discomfort in my balls each morning and in the evening struggling to get to sleep because it felt like I had been hit in the balls by a cricket bat.

gradually over several months the level of pain continued to reduce. The lumps where the tubes were rejoinder shrank so that they are no longer detectable and now I am no longer in any pain. Ok occasionally after sex my balls will ache a little, but there can be light at the end of the tunnel and you can get your sex life back.

i don't know if I can have kids, I never bothered with the test. I have just assumed that I can, but that was never the aim of the exercise.

good luck.

Hi. I am am a couple of weeks ahead of you, had my reversal on the 23rd June after going though five months of fun and games. I was always sore at the vas site and referred pain in the inguinals and groin. 

After the op, I am still very sore at the reconnect sites but no testicular pain. The dull aches in the inguinal and groin still comes and goes but has gradually got a little better over the five weeks since the op. 

From looking at other forums into PVP, the recovery can be anything from four to nine months. Its all about small steady steps.

Who did your reversal?

I suspect that the surgeon may have made a mistake on my left side of the scrotum, because it looks very strange, as if two flaps of skin is overlapping each other, this could also be because of the lump or the sperm granuloma placed underneath the scar, which is attached to the surface of the skin in some way.

Four weeks after the vasectomy the stitches on my right side of the scrotum disappeared, but I never saw any stitches on the left side so I fear that the stitches are inside the scar tissue.

This left area causes some of the pain. Other then that I’m having testicular ache and a sharp burning pain radiating up to my abdomen. (With my left side being the worst)

I read that vasectomy reversal surgery can be used to relieve major pain that occurs as a result of the vasectomy. 

(I do know that there is no guarantee that the pain will disappear after the vasectomy reversal operation)

Im glad to hear that a reversal has helped you. 

Who did your reversal ?. Does any one in here know a good vesectomy reversal urologist in Great Britain or Germany ?.

Thanks for reading this guys. I will appreciate your response. I wish you all the best on your journey.

Kind regards, Nick.

 

Hi Nick.

I did a lot of research into the reversal doctor.

I wanted one who's only job was doing reversals, had been doing them for a length of time, had high patency and had reversed clients with pvp.

In the end I picked Andrew Dawson at the Dawson Microsurgery in Hartlepool (other end of the country for me, but was worth it).

He has reversed over 3000 patients including over 100 with pvp. 

He advises a 90% success rate with pvp.

At the moment (i am very early in the healing process), there is slight improvement, but i know "my boys" are recovering from another trauma that they were not expecting.

 

Thanks,

?This surgery was definitely worse than the initial vasectomy.  2 weeks in & I'm still reliant on my jock strap.  During the procedure the Dr. said that when he injected the anesthesia into the vas that I would have abdominal pain, but the pain went straight to the testicle each time.  He thought that might be why I had PVPS even small amounts of fluid pushed back to the testicle caused extreme pain.

?I'm very hopeful that this will relieve most the pain.  What's sad is most my friends considering the procedure are looking at my and our experiences as 1 in a million type problems.

I got told to experience lots of ups and downs as well, so try and stay positive.

I felt great yesterday, the best since the op but today I feel worse again.

The Dr who did the op said no one gets worse after the reversal and 80 to 90% chance of vast improvement. But expect a long road.

I am hoping to be in a lot better place by Xmas

Helle Dbrb70 :

Was the operation painful with Dr. Dawson ?.

How long did the operation take ?.

How can one make sure that he do both sides. 

will appreciate your response.

Thanks.

Hi Nick

1) No it was not painful at the time. The healing process has been slow but steady. I am now at six weeks post reversal and am not quite at the stage I was pre reversal, but getting there.

2) It takes about 3 to 3 1/2 hours

3) not sure what you mean by this

hythem96366 :

Who did your vasectomy reversal ?. 

How are you doing now ?.

Thanks.

Peace!.

Dbrb70 :

Okay. Thanks for the information!.

 

I had my surgery done at the reversal clinic in Rhode Island (US), by Dr. Baldwin.

The surgery recovery has been much tougher than the original vasectomy. 3 weeks in I'm about 75% recovered from the surgery.

I was told to ejaculate every other day to keep the vas open and that is creating very similar testicular pain I had before the reversal. Left testicle seems to be much worse than the right one now though (right one seems to be better than before.)

Still getting small amounts of ejaculate and the congestion feeling.

I'm hoping with more time things will improve, but am not as optimistic as I originally was.