Please Help!
John
The vasectomy took 1 /1/2 hrs. The urologist said the vas was adhered
and that is why it took so long. I can remember that at one point in
the surgery I felt extreme pain. This is where the nightmate began! I
immediately felt extreme pain in the upper portions of both testicles
radiating up my groin & abdomen bi-laterally. This pain has not
stopped since then. I have missed 3 months of work. I have been given
tons of non-steroidal meds then placed on 6 weeks of steroids with no
help. I eat percodans & vicodans like M&M's.
I have been to the Pain Clinic EIGHT times so far receiving multiple
style nerve blocks with no to minimal relief. At present the will to
go on is very difficult! If I had ever heard of all the complications
I would never of had this done!
I meet with another urologist/microsurgeon that specializes in
infertility and does vasectomy reversals on Monday, March 4th to
discuss vasectomy reversal. This surgeon has done numerous reversals
for infertility but has not done any for Post Vasectomy Pain Syndrome.
At present I will do anything to stop the pain!
Has anybody ever had a situation like mine and did a reversal relieve
the pain? Please help me! There seems to be little knowlede by Doctors
in this area. I simply cannot go on like this!
Thank any of you for any help that you can provide!
John
Steve Law
I had a reversal for PVP and lowered endocrine function. Both improved
dramatically after the reversal. The PVP seemed to get better nearly
immediately and about 6mo post reversal noticed I was no longer
distracted by the PVP as often.
However, my PVP was what I would characterize as classic, PVP due to
blow-outs and the formation of granulomas (though not due to
infection, but to auto-immune response). The body sees the sperm as an
infection, thus the term granuloma. Closed or Open vasectomy can lead
to this.
Yours may be related to trauma of the surgeon needing to pull the vas
free from the adhering tissue. Some men feel the pain higher up as you
due to the pulling of the vas loose. But could be a chronic infection
or any number of things.
God's Speed,
Steve L
"Been There, Done That, Still Paying The Price"
trifold
jmic...@mtlebanon.org (John) wrote in message news:<dc8be978.03030...@posting.google.com>...
> On October 18th, 2002 I had a vasectomy done. I am 47 years of age.
> The vasectomy took 1 /1/2 hrs. The urologist said the vas was adhered
> and that is why it took so long. I can remember that at one point in
> the surgery I felt extreme pain. This is where the nightmate began! I
> immediately felt extreme pain in the upper portions of both testicles
> radiating up my groin & abdomen bi-laterally. This pain has not
> stopped since then. I have missed 3 months of work. I have been given
> tons of non-steroidal meds then placed on 6 weeks of steroids with no
> help. I eat percodans & vicodans like M&M's.
1.5 hours for a vasectomy is very unusual, so it sounds as if there
were serious complications during your surgery, I guess due to the
tubes sticking to other tissues for some reason. Do you recall
whether the surgeon checked your tubes by handling your scrotum before
he began cutting? I think this is usually done, and is a way for them
to know whether you are a good candidate for a straight forward
vasecotmy or need extra care (or perhaps shouldn't have it done at
all). If your guy didn't do this, he may have been negligent.
>
> I have been to the Pain Clinic EIGHT times so far receiving multiple
> style nerve blocks with no to minimal relief. At present the will to
> go on is very difficult! If I had ever heard of all the complications
> I would never of had this done!
>
> I meet with another urologist/microsurgeon that specializes in
> infertility and does vasectomy reversals on Monday, March 4th to
> discuss vasectomy reversal. This surgeon has done numerous reversals
> for infertility but has not done any for Post Vasectomy Pain Syndrome.
> At present I will do anything to stop the pain!
I'm not sure what the source of your pain is, but from what you say,
it doesn't seem to me the problem is due to sperm backpressure, which
some treat with reversal (my view is that reopening the vas is
probably just as effective in these cases). Still, anyone who can do
this kind of surgery might be able to deal with the source of your
pain. You should make clear why you are seeing him, not just insist on
reversal, since reversal might not be the best way to treat your pain.
By the way, were you referred to him by your original vasectomy
doctor or by some other doctor? Or have you looked him up on your
own? If the latter, you need to be especially sure that he knows your
background. You might even want to put him in touch with the vas.
doctor.
>
> Has anybody ever had a situation like mine and did a reversal relieve
> the pain? Please help me! There seems to be little knowlede by Doctors
> in this area. I simply cannot go on like this!
I think you need to insist on someone diagnosing the cause of the
pain--or at least making an educated guess--before jumping into more
surgery (esp. reversal). It could be there is scar tissue causing the
pain, and that could be removed. (They might be able to find this with
ultrasound imaging.) Or perhaps in the surgery some nerve damage was
done in the spermatic cord. One measure that is reported working in
cases like this is spermatic cord denervation (nerve stripping). This
procedure has no effect on sexual sensation, by the way. (There is
info. on this procedure as a treatment for pvp at the website below.)
>
> Thank any of you for any help that you can provide!
You will need to insist on seeing specialists to diagnose and treat
your problem, even if it means going outside your immdiate area.
Where do you live?
BTW, which vas. procedure did you have? And why did you have it?
Good luck, and let us know what you hear March 4. (I will try to do
some research on vas deferens adhesions at the Medline site located at
the website--this is a collection of abstracts of most medical journal
articles published each year worldwide>)
>
> John
trifold
Dave
I have suffered from PVP for many years. I finally had a Vas Reversal
in November 2002. Since then I've been pretty much pain free.
I also (like Steve) have a low Testosterone problem (which I believe
is caused by the Vasectomy). I had a blood test at the end of January
and the reading is still pretty low 9.2nmol/L, but this is actually
the highest reading for several years !!!
If my T-levels rise over the next year or so, I think this is pretty
good proof that the Vasectomy was the cause.
(I have been on and off T-replacement over the years, but am now going
to remain OFF).
My PVP started about 18 months post vasectomy. It didn't start straight
away like yours. I can sympathise with your situation.
Dave
David
"John" <jmic...@mtlebanon.org> wrote in message
news:dc8be978.03030...@posting.google.com...
Hi John.
You mention adhesions - these often occur as the result of a previous
surgery in that region. You don't say if you have had any other surgery or
not. It may have a bearing on things. Reversal is certainly one option, but
it does rather worry me that the guy has not done one for PVP before.
However, his personal success rate may be something to go on.
Have you considered other options here? The website has a section of medical
journal links that may be of use
http://www.vasectomy-information.com/journal/index.asp There is a section on
PVP incidence and treatment.
One item on the list may interest you -
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui
ds=12074809&dopt=Abstract It's a link about microsurgical denervation, and
the study found a 96% success rate. Like other surgical treatment options
available, this procedure and reversal work best in "well selected"
patients. It may be that one treatment is going to be more effective than
another in your case. Something worth discussing with the doctor on the 4th.
Please let us know how you get on.
David
www.vasectomy-information.com
trifold
> John,
> I also (like Steve) have a low Testosterone problem (which I believe
> is caused by the Vasectomy). I had a blood test at the end of January
> and the reading is still pretty low 9.2nmol/L, but this is actually
> the highest reading for several years !!!
Why do you think vasectomy caused your T levels to decline? Did you
have your levels tested before the vasectomy? For the record, there
are no medical studies showing vasecotmised men have lower T than the
non-vasectomised. In fact, some studies show just the opposite: that
T levels are higher among vasecotmised men than non-vasecotmised, when
matched for age, even 20 years after vasectomy.
trifold
in John's case.
trifold
Steve Law
There are 'no studies' showing lower testosterone for vasectomized men
means there are a lack of studies that show 5, 10, 15, 20 year levels
for vasectomized men compared to non-vasectomized men age correlated
for Total T, Free T, DHT, and LH. Lack of studies does not mean it
does not occur. In other words in this case 'no studies' equates with
'lack of studies' not a lack of occurrence.
For The Record:
There are quite a few studies that show endocrine damage due to
vasectomy including damage to leydig cell function. Leydig cell
function IS the testosterone producing cells in the testes.
For The Record:
The Chinese study stated higher DHT up to 20 years, and higher Total T
after 20 years. No mention of Total T up to 20 years. And no mention
at all of Free T at all. Free T is the libido and muscle building form
of testosterone. Some studies show correlation of higher DHT with
lower Free Testosterone. [Simple search of Google will bring up plenty
of reading].
Steve L
David
The vast majority of at TRT retailing sites. What does that prove, and how
does it help?
Nomen Nescio
Hello John
I know exactly what you are talking about when you say that
you would do anything to get rid of the V pain because I
have been in that situation for many years.
Unfortunately, I cannot give any constructive advice except
the usual, hang in there and prepare yourself for a long
battle. Because I am a victim of a botched vasectomy or
"bad outcome", I have been consistently treated by urologists
like the messenger who brought the bad news. In fact, I
have been treated like I had the plague.
I will post my story in this group and I think that you will
find it useful. In the meantime, know this, you are not
alone. And, never let the bastards get you down. Never give
up and never shut up.
Rick
David
> find it useful. In the meantime, know this, you are not
> alone. And, never let the bastards get you down. Never give
> up and never shut up.
Sometimes this is the best sort of support - knowing you aren't alone. Had
you considered posting your story to the group website?
David
www.vasectomy-information.com
Nomen Nescio
"David" <david...@tesco.net> wrote:
> Sometimes this is the best sort of support - knowing you aren't alone. Had
> you considered posting your story to the group website?
Hello David
I just finished writing it and have not considered where else
to post it. But, I have no objection to posting it in the group
website if I can find the email address.
Rick
David
David
> > I just finished writing it and have not considered where else
> > to post it. But, I have no objection to posting it in the group
> > website if I can find the email address.
>
> www.vasectomy-information.com
webm...@vasectomy.information.com - sorry forgot to mention this!
>
>
Nomen Nescio
"David" <david.b...@ntlworld.com> wrote:
> webm...@vasectomy.information.com - sorry forgot to mention this!
Thanks David I will send it.
Rick