Question: Hello I have been talking to a Dr. Chandrakant in XXXXXXX about my problem and I was wondering if I could get a second opinion on the answer that he gave me. He was very kind and I felt that he may have even given me a good solution but I don't know if I made myself understood about how reluctant and afraid of getting another operation that I am. I am a slow healer and each operation has either made me worse off than I was before or took me so long to heal that I lost a year of my life with each operation I just don't know if I can handle another unsuccessful operation. You have my ok to read our correspondence.

Sorry if my ipad messed my first paragraph but it is a new device to me.

Does this sound like a simple and correct path for me to take? Every surgeon that has operated on me has told me that the recovery would be simple as a few weeks to a month at the most! Only to have me right back where I started from or worse off than I was before a year later!

One surgeon (urologist) said that he had never seen anyone have the problems and mass of dead sperm in the (epididimis) canal only to call me back a few weeks later to tell me that he operated on someone else that had the same large amount of dead sperm cells and he told me he was fine. He also said that the 2 injections that stopped the pain ment that I was likely a good candidate for the reverse vasectomy clearing up my problem and that the shots would only relieve my pain for a few hours. Yet the surgeon that specializes in pain after vasectomy said that the shots would last a week or so and that would tell us if they should operate.

Why does one surgeon say that the nerve block would only last a few hours and the other surgeon says that it would last a few days to a few weeks. This is very confusing. Are there different kind of nerve blocks that will deaden the pain in the scrotal area? Why does one say a few hours and the other say a few days?

Is the operation that Dr. Chandrakant suggested to me really that common and simple? And to what degree of numbness do people experience? Will I loose 10% of feeling 20% ...just what kind of numbness can I expect in that area if I have the nerves cut in the inguinal canal?

Thank you if someone who has dealt with this specific problem has time to answer. I would so much appreciate a definitive and coordinated answer, but if it is not, i need to know.

Thank you

Thank You so much for your candid reply and your questioning of the reversal as the first choice of solution. I believe the Urologist who said that he could fix my problem with a reversal is of questionable character in his decision and because it is not covered by insurance in my country he saw a chance to be paid in full ( in cash ) and he did it for no other reason. That is why I am afraid to go back to him. He came highly recommended by a prominent prostate surgeon/urologist who I believe took a disliking to me because I had missed An appointment on him and was late for the other because it is hard to keep on a schedule for me because of the pain and the medications I have to take. As it is, the Urologist in question did an iladvised overconfident surgery on me so that now I have a dual vasovasectomy because both sides were so clogged that he had to enter the epididimas on both sides and I am now more uncomfortable than I have ever been. I am addicted to narcotics and see no end in site. The surgen took around "6" hours, which normally would have taken 2! I'd say he got more than he bargained for when he thought that he could make an easy buck. I told him that I did not want more children but did not have to worry about that because my wife has had a hysterectomy. I told him that I was in pain. Because there is so much coverup about the harm vasectomies can do to some men, the information that I read on the internet seemed to indicate that more men who had a full reversal were cured then men who had nerve blocks.... I did not know what to do! To answer your question about why I had a reversal instead of a nerve block. And since I do not have a good doctor or urologist that understands the problem. I myself, and me alone had to decide what to do.
I will try to get my ultrasound and send it to you. But I currently don't have it because my faith in the surgeons has been so shaken around here that I have not revisited the Urologist in question because I also believe that he did a surgery on me that was not the proper one to do. I have had two ultrasounds and the one before the operation was inconclusive. So i guess i should have said then "why did you think the operation would work then" ...I don't know.
I guess I need to see a pain specialist to have a discussion about a nerve block. Or should I see a neurologist or anesthesiologist ?. But the insurance that we currently have is so bad they want me to drive 50 miles away to see their recomended (translated cheepo) pain clinic. It as if I have moved to a part of the country that doesn't care if they help me or not. I am originally from a part of the country about 2500 miles away that has a "much" better medical reputation. I'd better not say any more than that about that right now. Except i am currently putting all of the energy that I have to fix up my house, sell it, and move back to where I am from...as far away from here as I can possably get!
I really don't know what to do. I appreceate your suggestions and I will print them out and show them to my general physician so he can refer me to a pain specialist or neurologist or anesthtist ...Which do you think I should go to???
I am also thinking of writing the XXXXXXX Medical Association and complainining about the urologist that did such an impropper operation on me. Everyone I talk to asks me the same question "why did you do a reversal?" But they will most likely do nothing. Now you may see why so many people XXXXXXX people in the US. I was brought up not to XXXXXXX professionals because their ethical governing bodies ensured that they were trying to do what was best and proper for the paitent. I am beginning to not believe that any more.
Again thank you for your suggestions and I think I will try the least invasive nerve block and work up from there. I will show the specialist your recommended anesthetics and see which might be right for me to try.

Please please excuse the spelling. The spell checker from hotmail acts as if it is playing games with you. It gives you alternative spellings and quickly dissapears and asks if you want to do something about it. I honestly don't know why i don't switch to another service...but everyone knows me at this site. I am sorry. Please just try to sound it out. I have never been a good speller.
And please forgive the long email. Since I am mostly bed ridden from pain or drained from the medications and the pain...all that i have to do is lie in my bed and email or watch TV.
This operation has ruined the most productive years of my life. I just read an article by an army hospital done several years ago and they knew that this was a problem. And now I may have greater problems due to the double connections to my epididimus because they know that infection of the epididimus is a problem.

Im sorry for ranting. I will stop now. And I look forward to your reply. Thank you for your reply. I thought that there was a less invasive way to address this than another operation.

Thank you again
DRH

I wrote you a fairly long reply thanking you for your words of practical wisdom. But it looks like my computer did not send it properly. Could you let me know if you received a message before this one...and if you did not i will retype it in later.
Thank you DRH