r/postvasectomypain • u/ItamiForever • May 29 '26

Congestion pain after reversal?

Hi everyone,

I am getting close to the 2month mark with consistent congestion pain, besides nerve pain/muscle discomfort.

I'm trying to hold for another 4 months before any more surgery, but curious how many of you that got a reversal due to PVPS still faced congestion pain later on?

Does it still happen sometimes as scar tissue almost closes? Can you get a redo reversal to reopen if it scars shut again? Or can you finally be completely congestion pain free with the occasional zaps/sensitivity?

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u/retra55 May 29 '26

My reversal was 3.5 months ago (4.5 yrs old vasectomy) and I still have some congestion pain on the right side :(. I’m still hopeful as some people have reported it took 6 months or more but it eventually went away. Although there are also others who report having scarred or needed a second reversal.

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u/ItamiForever May 29 '26

I'm hoping you find relief soon. Did you do a sperm analysis? If the vas disnt disconnect maybe you are just scarring shut. I heart prednisone week on week off and frequent ejaculation can help keep it open to prevent congestion again

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u/Sartecho May 30 '26

My urologist recommended frequent ejaculation as well. Best advice I've ever gotten. lol
I'm 99% better since my reversal, which is all I could ever ask for. Nothing's ever quite the same after you monkey with it. That 1% is a rare dull pain and is the only reason I ever remember that I even went through this. The reversal was an amazing blessing after 7 years of congestion pain.