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Post vasectomy complications
I ran your situation by a renowned specialist in vasectomy/reversal/testicular pain as well as by my favorite pain management specialist.
First, I don’t understand anatomically how you can get a pelvic hematoma from a scrotal procedure. But, if you did get a pelvic retroperitoneal hematoma of significance, that can irritate all the nerves in that space, including the pudendal nerve, etc. I agree with Dr. Earle’s assessment.
That said, your symptoms are persistent, progressing, and are no longer localized. Have you considered the chance of CRPS (complex regional pain syndrome)? If that is indeed what you have, no local procedure may improve it and in fact further surgery may exacerbate it.
Do you have a good pain management specialist who can or who has treated you for this?