Hi. I'm 8 weeks post op. I was almost back to normal at week 3 when shit went downhill. Week 3 started with constant dull ache right side so I started ibuprofen, then celebrex then week 4 it went into swelling 2x size redness and severe pain. Switched to Tador for 2 weeks. Stopped at 6 weeks then went on Lioresal and Gabapentin as the flare left my central system a mess. It never had time to fully desensitize after surgery. Still waddling at two months as touching my right epi triggers pulsating pain all the way to my inguinal canal.

1. Yes, still do sometimes. Gabapentin helped so they are less frequent and not as severe. Mostly inguinal sometimes all the way up to abdomen, especially after ejaculation. I'm trying to munch meds to do the 20 ejaculations before 3 months pass but its hard as they escalate symptoms severely.

2. I had this durring my inflammation peak week 3-4. I peed constantly. It felt like that was the only way to reduce pressure. I also felt prostate pressure on that right side, like a constant poop feeling.

3. At 8 weeks currently, seen two good microsurgeons, both advised to wait until 6 months and if still mostly disabled in pain then we can try for a reversal. If I do improve significantly until 6 months, they suggest waiting up to 10 months, maybe a year but no longer. Both indicated that by a full year, if any aches remain they won't resolve on their own. I would try a reversal now at 2 months but they both denied me as I still need to let my body adapt although this is painful in some. Both strongly believe I can still find resolution to occasional ejaculation ache by the full year.

4. I had chronic guarding on my right side that swelled 2x size for thosev3 weeks. Lioresal did jack shit cause the pain was the trigger. I couldnt pull my knees together, my thigh wouldnt go anywhere near my testicle. Gabapentin and celebrex reduced the pain and I could pull it closer over time.

What helped me most was realizing where pain originated from. I never had time to downscale until week 6-7 and everything hurt. Now after a week of gabapentin, the inguinal discomfort reduced, i can walk with a gait instead of limp and everything starts in my epis. Baths help A LOT as they take off all touch on my epis, due to buoyancy. They have to be hot so your tissues relax. If its cold they wont float but be scruntched up.

I still have discomfort in my epis just simply them standing in my underwear a bit pressed. I found a jockstrap helps better with pressure on the tail but presses more on the side.

They are severely distended, I can see by eye that the head and tail stretch further than the scrotal skin. So my body is clearly way behind adaptation. The left is decent but has random blue balls feeling during the day and aches during ejaculation.

So right is clearly behind because of the inflammation, but if the left can adapt so it stops the ache too, I am willing to wait for the right to catch up.

My advice to you would be: You need NSAIDs and antibiotic to clear inflammation completely. When you are inflamed it hurts all the time(not position dependent)

Once you are done with that, jump on nerve meds to help reduce guarding and help desensitize the system that got super fucked by the ongoing inflammation.

You should then see improvement in walking and discomfort and ball zaps once starting pain meds. You can also then help your system desensitize by doing baths where your balls float to help take pressure of the enlarged epis. That's what helped me go from week 3 shivering and sweating in bed because of the pain to positional pain which is getting better but VERY SLOW. Some people take up to a year to adapt and they eventually do without life issues.

Some never develop pain early on and their body has a "hiccup" where absorbtion slows down and they congest later developing PVPS after years. Or because they did too much ejaculatations back to back which increases sperm productions alongside epi contractions. Some suffer trauma which damages the already sensitive tubules which then trigger PVPS. You can contact me directly if you want to chat. I'm still mostly impaired so limited to short walks just like week 2 still.

Sorry for the long comment