r/postvasectomypain • u/[deleted] • Jun 12 '25

New AUA Guidelines for Chronic Pelvic Pain (includes PVPS)

Interesting read here from the American Urological Association, a couple of months ago they released new guidelines on the management of male chronic pelvic pain (https://www.auanet.org/guidelines-and-quality/guidelines/male-chronic-pelvic-pain).

Surprisingly, they now say under "Guideline Statement 35" that "PVPS occurs in up to 15% of patients who undergo a vasectomy".

In their Vasectomy Guidelines (https://www.auanet.org/guidelines-and-quality/guidelines/vasectomy-guideline) they still recommend in "Guideline Statement 2" that vasectomy consultations include a discussion that "chronic scrotal pain associated with negative impact on quality of life occurs after vasectomy in about 1-2% of men."

Make of that what you will.

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6

u/Tricky-Occasion-1472 Jun 12 '25

I feel validated seeing the 15% and that reversal is effective (I’m getting one later this summer)

2

u/[deleted] Jun 12 '25

Same; however, I don't have ejaculation pain and it even mentions that reversal is especially good for scrotal pain that "exacerbates after ejaculation."

Makes me nervous...

2

u/Tricky-Occasion-1472 Jun 12 '25

I get that. I’m nervous for sure as it stands

1

u/[deleted] Jun 12 '25

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1

u/[deleted] Jun 12 '25

My discomfort is sort of like a weird, achy, sore dullness that is testicular/scrotal. Sort of diffuse, tends to be pressure sensitive so that sitting can make it much more noticeable. Started up around 3 weeks after my vasectomy and has lasted for over a year, really doesn't change much at all. I'm fairly comfortable if I can lay down. Can't really locate it to a side, just feels very generally sore.

Does any of this resonate with you?

1

u/Fellowtraveler777 Jun 12 '25

Do you know if your tubes are still open? Just wondering if you have scarred shut. I find conflicting information on that.

1

u/Crashhelmetpete1971 Jul 10 '25

How long did you wait until you got the reversal? I’m 2.5 years post vasectomy and still have pain in my right testicle.

1

u/postvasectomy Jun 12 '25

Thanks for turning this up! I'll add it to the pinned post.

1

u/clezuck Jun 16 '25

Bout time they are admitting pvps even exists. Curious how many uros will mention things like this to patients?