Almost 24 hours later, zero pain, feeling good.
Good deal for you.
24 hours later was when the horror started for me.
I had mine done on a Monday, and the doc told me it would be a few days, and I'd need a week off of work. I had concert tickets for Saturday, so I figured I'd be good. The pain was so bad by Thursday that I could barely sleep. Saturday was an ER visit. Ultrasound and all that jazz to make sure that I didn't have any torsion issues (which thankfully I didn't). They sent me back to the urologist on Monday. His line was more antibiotics, more vicodin, and another week off of work.
2 weeks go by and things aren't really better, but I'm outta sick time at work, so I've gotta go back. Constant pain, constant swelling, and more antibiotics. Just take more advil, that will keep the swelling down. I wasn't shitting straight for a month. I was jizzing blood. Completely awful. Then I decided I better get a second opinion, but what they don't tell you is that's almost impossible. No one wants to see a patient that they didn't perform the vasectomy on. I spent the entire morning being told by every urologist in the phone book that I need to back to the doc that did the procedure. I finally ended up getting a guy who would see me halfway across the city.
Thankfully, he was pretty decent, and when I walked in, he said he had spent some time researching my condition...Post Vasectomy Pain Disorder. 3-5% of men get it. They don't know what causes it, and they don't know how to cure it. They can reverse the vasectomy, but there's no guarantee that will work, plus it defeats the purpose of why I did it in the first place. They can remove the epididymis (which was the cause of the pain and the inflammation), but there's no guarantee that solves it. Or they can remove my testicles, but there's no guarantee that will work either. He advised me that chasing pain with surgery only leads to more pain and to discontinue the antibiotics and keep taking advil for the swelling and to give it more time.
It took about 6 months for the daily pain to stop. By which time my stomach was completely wrecked from the NSAID use/abuse. Turns out your body isn't designed to be on 1200-1600mg of ibuprofen for 6 months, but because of all the fucking heroin addicts in this country, you can't get anything else for pain anymore. So then a 6-7 month stint of severe gastritis and ulcers started up, where I was vomiting water and eating sub 500 calories a day for 3 weeks. I lost 25lbs in those 3 weeks, went thru 3 endoscopies and basically got more of the same shit from our fantastic medical community in this country "Well, there's not much we can do except wait it out." Yeah, that sounds great. I'll just be over here eating my 3 crackers for the day.
On the bright side, I now have a near lifetime supply of high grade anti-nausea meds, so that's cool. But yeah, it took me about a year to get to the point where I can say the vasectomy isn't a daily thought in my life anymore. I still occasionally get pain that will make me take a knee, but it's much better than it used to be.
So yeah - know your risks, fellas. Most guys say it's no big deal, but 3-5% has to happen to someone.