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Post Vasectomy Pain Syndrome Treatment | PVPS Los Angeles
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What is PVPS?

Post-Vasectomy Pain Syndrome (PVPS) is a chronic condition characterized by recurrent or continuous pain in the epididymis or testicles without infection. This condition, although rare, can significantly impact quality of life.

Is there pain after a Vasectomy?

While most men experience little to no issues post-vasectomy, a small percentage develop chronic pain, starting immediately after surgery, due to sperm granuloma or infection. Usually, this resolves with appropriate treatment, but if the pain persists, it could be PVPS, possibly exacerbated by ejaculation due to back pressure in the epididymis.

Lower Abdominal Pain After Vasectomy

Post-operative pain can sometimes radiate to the lower abdomen. If this pain continues, consulting with Dr. Werthman is essential for determining the cause and receiving proper treatment.

Testicle Pain After Vasectomy

Common Side Effects

After a traditional vasectomy, it's common to experience bruising, swelling, and soreness, but most men feel back to normal within a few days. Even in the absence of pain, following Dr. Werthman’s recovery advice is crucial, including using scrotal support and rest.

Testicle and Scrotum Swelling

Mild swelling and bruising are expected post-vasectomy. Swelling usually lasts from a few hours to a few days and is generally manageable with pain medication and ice packs.

Two Common Questions About Vasectomy

Two frequently asked questions are, “Will I have sore balls after a vasectomy?” and, “How long after a vasectomy will my testicles be sore?” These depend on strictly following aftercare instructions, including:

  • Maintaining firm support of your scrotum with bandaging and tight underwear for at least two days.
  • Applying cooling ice packs to reduce any inflammation for 48 hours.
  • Observing at least one day of rest and minimal activity post-surgery.
  • Avoiding sports, strenuous work, or lifting for a week.
  • Refraining from sexual activity for at least one week, or as Dr. Werthman advises.

Your specific recovery advice may differ based on your unique physical profile, which your doctor will consider.

When Post-Vasectomy Pain Lingers or Returns

In some cases, testicle pain may persist beyond the typical recovery period or reoccur months or years later. Dr. Werthman, an internationally recognized specialist in PVPS, has successfully treated many patients who have come to him after other doctors failed to resolve their pain.

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Understanding Potential Risks

Causes of Testicle Pain Post-Vasectomy

Testicle pain after vasectomy may stem from sperm granuloma, epididymal congestion, or complications related to surgical technique. Conditions like hematoma, bruising, or fluid buildup in the testicles may also cause discomfort but typically resolve on their own during healing.

Lower Back Pain After Vasectomy – Why?

While uncommon, lower back pain following a vasectomy might occur due to compensatory muscle tension. Resting and avoiding usual activities for the recommended period is vital for proper healing.

Testicle Pain During Recovery

Post-operative inflammation is normal, and it is recommended that it be managed with anti-inflammatory medications for the first few days. It may take up to two months to become pain-free.

If Pain Becomes Chronic

If pain persists for months, it could indicate PVPS, and it’s crucial to identify the underlying cause for appropriate treatment. Dr. Werthman specializes in diagnosing and treating these cases to restore normalcy to patients' lives.

Treatment Options

Dr. Werthman begins with conservative treatments like rest, scrotal support, and anti-inflammatory medications. More advanced interventions, including injections or surgery, may be necessary if these do not provide relief. Treatment is tailored to the source of the pain, whether from granulomas, neuromas, or other complications.

Advanced Vasectomy Surgery

A more advanced technique involves a minimally invasive procedure that doesn't require sutures. This approach minimizes recovery time and discomfort.

The pain is real. You can be helped.

Chronic Pain and Its Impact

PVPS can significantly affect a man’s quality of life, impacting daily activities and intimate relationships. Pain is often more severe during or after sexual activity and may radiate to the inner thigh. Dr. Werthman understands the severity of this condition and is committed to providing effective treatments.

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A patient’s story

Here is a letter that Dr. Werthman received from a patient who recently received treatment for his post-vasectomy pain syndrome:

I write this letter only in small part to thank Dr. Werthman and his supporting personnel—my main motivation is to help the next person in need of a great urologist. Before finding and settling on Dr. Werthman, I spoke and met with numerous other doctors (also of high repute, I should add) about a reconnection and especially a solution to my post-vasectomy pain (vasectomy performed at family planning 2009), which was a complicated matter not due to the usual causes.

Most did not listen at all; others even suggested frighteningly unnecessary procedures. With each new doctor, I only felt worse about my predicament. Had I not, through good fortune, found myself in the office of Dr. Werthman, I doubt my nightmare would have been alleviated.

From beginning to end, my experience with Dr. Werthman was pleasant. His office staff has been with him for a long time, and their experience has come through. My consultation with the doctor himself was a meeting with a human being who cared about my individual case, not the usual sit-down with distant expert selling skills and procedures.

In response to my questioning, Dr. Werthman spoke positively of his profession, and I got the sense that his daily work takes on more of a life mission. He was the only one who, during the initial exam, identified the probable cause of pain and proposed a sensible solution.

Later, during a successful reconnection, Dr. Werthman took care of the problem, which he had previously diagnosed correctly. Several hours afterward, he called me personally to check on my well-being. I was pleased to report that all was well and that with only an ice pack, the post-op pain meds were surprisingly unnecessary.

I should mention also that the top-notch facility where the work was performed, Specialty Surgical Center of Wilshire, employs a team of personnel that made me feel exceedingly well cared for, not solely for their professionalism but also because of a disarmingly warm bedside manner, which, although unexpected, was very much appreciated. To the patient (which was me!), everything matters, and it was a great comfort to see that everything mattered to them as well.

I now feel as if I had a new lease on life, like a trapped animal newly freed and in some small way reborn. My deepest heartfelt thanks to Dr. Werthman and everyone involved in ensuring the success of the operation and the end of a dismal three-year ordeal. This is what good Western medicine is all about, and I truly feel blessed for having received it.

I am aware that testimonials generally consist of only a few lines and sometimes read like book-review hype, and surely any that contain high praise for Dr. Werthman is certain to be true. However, I chose instead to offer a more detailed and personal account of my experience so that others might have the good fortune to arrive at the same decision that served me so well. Normally, I think I would have ended this by saying, 'Take care and good luck to you,' but if you have already found Dr. Werthman, then that may be all the care and luck you need. So instead, I will only say: take it easy, relax—you really are in the best of hands.

Sincerely,
Eric - Aug 2012

Treatment Options for PVPS

Diagnostic Tools

To determine the cause of chronic pain, diagnostic tools like scrotal ultrasounds, anti-sperm antibody screening, and examination of the urethra, prostate, and bladder may be used.

Treatment Approaches

Dr. Werthman’s approach includes non-surgical treatments, vasectomy reversal, microsurgical denervation of the spermatic cord, and more. His focus is on identifying the exact cause of the pain to provide effective treatment.

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If you’re experiencing post-vasectomy pain or are concerned about potential complications, schedule a consultation with Dr. Werthman to explore your options and receive expert care.

Post Vasectomy Pain Syndrome Treatment

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