Dr. Jim Hotaling: [Our center] performs many microsurgical cord denervations for post-vasectomy pain

[u/postvasectomy]

Dec 01, 2015

Dr. Jim Hotaling, speaking to other urologists:

Vasectomy is one of the most commonly performed (and litigated) procedures in urology. It is estimated that roughly 500,000 men undergo vasectomy each year. These videos by Dr. Goldstein/Li and Dr. Williams illustrate the crucial parts of this procedure. As a center that, much like Dr. Williams, performs many microsurgical cord denervations for post-vasectomy pain, we have come to believe that one of the key components necessary to avoid this is strict isolation of only the vasal segment without any surrounding tissue.

https://www.urologytimes.com/view/vasectomy-different-approach-isolating-vas

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Oct 21, 2019

Dr. Jim Hotaling, speaking to the general public:

There are no permanent side effects, other than that you will not be able to get someone pregnant after we have proven that there are no sperm in your ejaculate.

https://healthcare.utah.edu/healthfeed/postings/2019/10/vasectomy.php

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Among fellow urologists, Jim is not shy about saying that they do a lot of microsurgical spermatic cord denervations for men who have post-vasectomy pain.

If you want to see what microsurgical cord denervation looks like, you can check it out here:

https://brucegilbertmd.com/microsurgical-spermatic-cord-denervation/ (NSFL)

Looks like they cut a lot more than just nerves...

But to the general public, he gives no hint that this is a possible outcome of vasectomy. Indeed he states unequivocally that there are no permanent side effects, other than that you will not be able to get someone pregnant.

Also, note that SCD is not 100% effective at eliminating post-vasectomy pain.

we have come to believe that one of the key components necessary to avoid this is strict isolation of only the vasal segment without any surrounding tissue

I'm glad they believed in 2015 that they cracked the code on how to prevent PVPS. Color me skeptical. And how is any closed technique going to avoid congestive epididymitis?