Health Organization for Pudendal Education

Hi everyone,

I’m a male in my 40s, dealing with chronic left-sided pelvic and gluteal pain that started shortly after a vasectomy around 18 months ago. I also had an episode of epididymitis soon after the procedure.

Since then, I’ve had ongoing pain in the hip, lower back, buttock, and scrotal area, especially when sitting. There’s also tightness in the TFL/gluteal region. MRI came back normal. Physio and hip injections didn’t help much.

At this point, I’m wondering if this could be pudendal nerve entrapment or irritation.

Previously, stretches and exercises used to help : right now, even after stretching, I have cramps and pain on my left buttock.

Has anyone experienced similar symptoms after vasectomy? Would love to hear from anyone who’s been through this — especially regarding diagnosis, treatment, or finding the right specialist. Open to insights from any region, but particularly interested in Europe.

Thanks in advance.

It's unfortunate that you are going through this after a simple common procedure. If you put the word "vasectomy" into the search bar in the upper right, some discussions about pain after vasectomy come up. Pelvic surgery is one of the possible causes of pudendal neuralgia so it's certainly a possibility after vasectomy. There are some very good PNE doctors in Europe. Some of them will do phone consultations. https://www.pudendalhope.info/european-physicians/

Violet