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‘I really wasn’t worried’: US man was getting vasectomy as earthquake struck
(www.theguardian.com)
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And that’s basically it!
The pain is caused by chronic epididymitis because sperm gets blocked up in the epididymus. The fix is surgically removing the epididymus which is not nearly as straightforward as the initial vasectomy, has a much larger chance of complications, and a much more miserable recovery period. If the pain is ocasional (which it is for most guys with this issue) then usually your best bet is just ignoring it. For OP the surgery might be worthwhile though.