March 4th results!
John
I don't know who you guys are but right now you are providing me with
more accurate information than I have obtained in the past 4 1/2
months! I personally thank each one of you! And Trifold - Thank you
additionally for the extra resarch you are doing for me!
I will try to answer all of your questions in this one response.
I had my appointment with the second Urologist today. This was the guy
who is the Fertility Expert who has done many reversals but none for
PVP. I was refered to him by my first Urologist who did my closed
vasectomy on Oct 18, 2002. Because of the extreme pain for 4 1/2
months with no relief via meds or pain clinic eight times it was my
intent today to walk in and sign the papers to have my vasectomy
reversed.
I told him my complete history as I discribed in my original plea for
help from you guys. This second urologist seemed to have light years
of more knowledge over the first! He advised that he would not just
jump into a reversal without a complete examination and detailed
history.
BTW - I originally got the vasectomy to improve my sex life with my
wife! Never once did I think it would turn out like this!
Upon physical examination this urologist found no signs of any
granulomas. He did find that bilaterally tenderness was clearly
evident in the remaining vas areas. He also noted that at times I had
extreme pain in a specific area and then not as much in the same area
when he checked it again minutes later. He and I also found it
interesting that at times he would press hard on my left side and I
would feel pain on the right side. Ultrasound imaging did not indicate
anything unusual.
Upon completion of his physical exam he stated that right now I should
NOT do something as invasive as a reversal since he believes that the
pain MAY be from "hypersensitive nerves" that became this way as a
result of being irratated during the 1 1/2 hour original vasectomy and
all the ADHERED TISSUE.
BTW - My original uroligist examined me before my vasectomy and told
me I was a perfect candidate! Any culpability here??
Todays urologist also asked if my pain management doctor had ever
delivered any spermatic nerve blocks directly into my scrotum. He had
not and I explained to him that of the eight sessions all shots were
delivered into my abdomen or back.
This urologist then gave me several shots bilaterally into my scrotum
which has helped the pain today.
He then suggested that I cease going to the Pain Management Doctor
that I have been using and try the Doctor that he uses. The only
problem is I have a 6 week wait to see this new pain management
Doctor.
The urologist then put me on a prescription of NEURONTIN stating I
should have already been on this med. He prescribed 300 mgs. a day for
the first week, 600 mgs. the second week, and 900 mgs. after that to
see if this med can settle down the nerve impulses of pain.
He then advised me that this is the way to go for a while rather than
just jumping into a reversal. I must admit that this is not what I had
figured would happen today! I hope the NEURONTIN works!
He also said that reversal works with PVP in about 2 out of 3 cases.
He continued that in my case if the nerves are already hyperirratated
a reversal at this time may make matters worse. For a surgeon I must
admit that this guy seems to want to initially treat conservatively!
Now- For you guys!!! You"re incredible! Many of you called what would
happen before my appointment perfectly and before I read any of your
responses! Thank you very much!
Do you guys have any additional comments or have any experience with
NEURONTIN or hypersensitive nerves as a result of a "rough" vasectomy
due to adhered tissue?
Thanks again for all your help!
John
David
Glad our thoughts has been of use to you! It certainly sounds like the
doctor you are now under is a great improvement and really seems to know his
stuff.
> I told him my complete history as I discribed in my original plea for
> help from you guys. This second urologist seemed to have light years
> of more knowledge over the first! He advised that he would not just
> jump into a reversal without a complete examination and detailed
> history.
Have to say this is wise - just going for an option basically at random is
not the best practice. As I said in my previous post, certain patients
respond better to different treatment options, and the fact that he is
looking at all options to find the best one for you is excellent!
> Upon completion of his physical exam he stated that right now I should
> NOT do something as invasive as a reversal since he believes that the
> pain MAY be from "hypersensitive nerves" that became this way as a
> result of being irratated during the 1 1/2 hour original vasectomy and
> all the ADHERED TISSUE.
The examination sounds extremely thorough, and the advice above sounds
good - it may be that denervation is the option to go with. You did say he's
a microsurgeon, and it's a microsurgical technique so one he will be
familiar with.
>
> Todays urologist also asked if my pain management doctor had ever
> delivered any spermatic nerve blocks directly into my scrotum. He had
> not and I explained to him that of the eight sessions all shots were
> delivered into my abdomen or back.
>
> This urologist then gave me several shots bilaterally into my scrotum
> which has helped the pain today.
Have to say that it's strange they didn't inject pain relieving drugs into
the area where the pain was before today.
>
> He then suggested that I cease going to the Pain Management Doctor
> that I have been using and try the Doctor that he uses. The only
> problem is I have a 6 week wait to see this new pain management
> Doctor.
But worth the wait I'd suggest.
> He also said that reversal works with PVP in about 2 out of 3 cases.
So he has some experience in this area after all?
>
> He continued that in my case if the nerves are already hyperirratated
> a reversal at this time may make matters worse. For a surgeon I must
> admit that this guy seems to want to initially treat conservatively!
I do know of one PVP case I was in correspondence with where the guy
basically decided that a reversal would cure him, steamrollered the doctor
to agree to his demand only to find that it didn't really help. If he is
going the conservative route and you are open minded and happy with the guy,
hopefully the right treatment option for you will be found, and you will get
a good resolve.
>
> Do you guys have any additional comments or have any experience with
> NEURONTIN or hypersensitive nerves as a result of a "rough" vasectomy
> due to adhered tissue?
http://www.rxlist.com/cgi/generic/gabapent_ad.htm is the side effects info
sheet if that helps.
http://neuroland.com/pain/neurontin.htm is a link (from the manufacturer I
think) re the use of the drug
And a couple of other links that may be of interest.
http://adultpain.nursing.uiowa.edu/Adjuvant/Gabanote.htm
http://www.biopsychiatry.com/gabapent.htm
Please let us know how you get on.
trifold
It sounds like you are now in good medical hands.
jmic...@mtlebanon.org (John) wrote in message news:
> I don't know who you guys are but right now you are providing me with
> more accurate information than I have obtained in the past 4 1/2
> months! I personally thank each one of you!
We all benefit/have benefitted by exchanges here--or at newsgroups
like it. Aint cyberspace grand?
>And Trifold - Thank you
> additionally for the extra resarch you are doing for me!
So far all I've come up with is what David mentioned in an earlier
post--that adhesions are often due to scar tissue from earlier
surgery. Have you had anything like this? (I will keep looking.)
>
> I will try to answer all of your questions in this one response.
>
> I had my appointment with the second Urologist today.
>This was the guy
> who is the Fertility Expert who has done many reversals but none for
> PVP. I was refered to him by my first Urologist who did my closed
> vasectomy on Oct 18, 2002. Because of the extreme pain for 4 1/2
> months with no relief via meds or pain clinic eight times it was my
> intent today to walk in and sign the papers to have my vasectomy
> reversed.
>
> I told him my complete history as I discribed in my original plea for
> help from you guys. This second urologist seemed to have light years
> of more knowledge over the first!
Were you referred to this guy or did you find him yourself?
>He advised that he would not just
> jump into a reversal without a complete examination and detailed
> history.
A good sign, imho!
>
> BTW - I originally got the vasectomy to improve my sex life with my
> wife! Never once did I think it would turn out like this!
So you were using rubbers before?
>
> Upon physical examination this urologist found no signs of any
> granulomas. He did find that bilaterally tenderness was clearly
> evident in the remaining vas areas. He also noted that at times I had
> extreme pain in a specific area and then not as much in the same area
> when he checked it again minutes later. He and I also found it
> interesting that at times he would press hard on my left side and I
> would feel pain on the right side. Ultrasound imaging did not indicate
> anything unusual.
It's good he did the ultrasound. It is interesting the pain seem to
be referred this way.
>
> Upon completion of his physical exam he stated that right now I should
> NOT do something as invasive as a reversal since he believes that the
> pain MAY be from "hypersensitive nerves" that became this way as a
> result of being irratated during the 1 1/2 hour original vasectomy and
> all the ADHERED TISSUE.
Did he say anything about how tissue becomes adhered this way? Or was
he suggesting the adhesions developed after the vasectomy?
>
> BTW - My original uroligist examined me before my vasectomy and told
> me I was a perfect candidate! Any culpability here??
I don't know. I'm curious whether the adhesions were there before the
vas. or came after. Eventually, you might want to ask the second
doctor why the op. lasted so long and, if it was adhesions, what could
have caused them--and whether they are detectable before surgery.
(But for now I would focus on getting better!)
>
> Todays urologist also asked if my pain management doctor had ever
> delivered any spermatic nerve blocks directly into my scrotum. He had
> not and I explained to him that of the eight sessions all shots were
> delivered into my abdomen or back.
>
> This urologist then gave me several shots bilaterally into my scrotum
> which has helped the pain today.
>
> He then suggested that I cease going to the Pain Management Doctor
> that I have been using and try the Doctor that he uses. The only
> problem is I have a 6 week wait to see this new pain management
> Doctor.
I'm guessing the new urologist will help you out in the meantime if
needed.
>
> The urologist then put me on a prescription of NEURONTIN stating I
> should have already been on this med. He prescribed 300 mgs. a day for
> the first week, 600 mgs. the second week, and 900 mgs. after that to
> see if this med can settle down the nerve impulses of pain.
>
> He then advised me that this is the way to go for a while rather than
> just jumping into a reversal. I must admit that this is not what I had
> figured would happen today! I hope the NEURONTIN works!
>
> He also said that reversal works with PVP in about 2 out of 3 cases.
>
> He continued that in my case if the nerves are already hyperirratated
> a reversal at this time may make matters worse. For a surgeon I must
> admit that this guy seems to want to initially treat conservatively!
A VERY good sign.
>
> Now- For you guys!!! You"re incredible! Many of you called what would
> happen before my appointment perfectly and before I read any of your
> responses! Thank you very much!
>
> Do you guys have any additional comments or have any experience with
> NEURONTIN or hypersensitive nerves as a result of a "rough" vasectomy
> due to adhered tissue?
Not me personally. But I see David has connected you to some good
websites and the info on spermatic cord nerve blocking at the
vasectomy-information website.
>
> Thanks again for all your help!
You are very welcome. Good luck and keep us informed. I hope your
case resolves well. In any case, you should post your (ongoing) story
to the website, as it will help others. I am especially interested
how you found the new doctor. He really seems to be turning things
around.
trifold
your post and saw you had already answered. It's good to see the
first urologist has sent you on to the second guy, who clearly knows
more. At least he did that right!
trifold
http://www.vasectomy-information.com
jmic...@mtlebanon.org (John) wrote in message news:<dc8be978.03030...@posting.google.com>...