Chronic Testicular Pain After Surgery: Seeking Answers and Solutions - Urology

I have been suffering from chronic testicular pain for almost a year, and I feel like I can't go on. It's seriously affecting my mental health. Please help me?

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Summary: The article is lengthy because I have been in pain for a long time, and I am pleading for help from the doctor.
I have been taking Tramadol, anti-inflammatory medications, and blood circulation drugs daily, but I still cannot manage the pain, which makes me feel hopeless.
The pain management clinic has prescribed medications like Rifampicin and Lyrica, but it has been over ten months since my surgery, and I am still experiencing abnormal pain postoperatively.
Before the surgery, I had typical varicocele, which improved when lying down, but now I experience pain regardless of my position, with the pain intensity being dozens of times worse than before.

Background: Last September, I consulted a hospital in the northern region for mild varicocele, and the doctor recommended laparoscopic surgery for bilateral varicocele.
The doctor stated that the surgery would be performed on the same day, and I would be discharged the same day, so I paid over NT$50,000 for the laparoscopic procedure.
After the surgery, I experienced the following complications: widespread abdominal pain, palpitations for six months, and scrotal swelling that has not improved, with the scrotum being more painful than before the surgery.

I have the following questions:
1.
The surgery took much longer than expected; originally estimated at 30-60 minutes, the surgical record shows it lasted over two hours, with anesthesia lasting nearly three hours.
I found online that laparoscopic surgery should be much simpler and quicker than microsurgery, so I would like to ask the doctor what could have happened during the surgery.
(The surgeon has repeatedly told me there are no issues despite my numerous side effects and severe scrotal pain, and I have lost confidence.
Please help me; I am willing to travel to Miaoli for your treatment.
The surgeon has not explained the reasons for the extended surgery time.)
Given the numerous complications, I cannot help but suspect whether normal organs like the vas deferens were inadvertently cut during the surgery.
I just want to resolve my scrotal pain issue.
How should I check if anything was mistakenly cut during the last surgery, and how can it be repaired?
1.1 Is it possible that a blood vessel was mistakenly cut?
1.2 If the vas deferens was cut, is there a high likelihood of recurrent epididymitis similar to a vasectomy? How can this be checked and repaired?
Postoperatively, I have been diagnosed multiple times with epididymitis and chronic epididymitis.
Is this a possibility? How can it be cured? No bacteria were found in my urine.
I also tried various antibiotics for three months, and only Staphylococcus haemolyticus was found in my semen, which the doctor said should not cause problems.
I even spent ten days in the hospital receiving antibiotics.

I feel like the only remaining possibility is that it is aseptic.
After the surgery, I was also diagnosed with mild varicocele at other hospitals.
I know that the recurrence rate of high ligation is not low, but due to the numerous complications post-surgery, including increased testicular pain, abdominal stabbing pain, palpitations, and abnormal surgery duration, I am more suspicious that the surgery may not have been performed correctly.

I just want to resolve the issue.
The main clues I want to ask about are: if the vas deferens was cut, how can it be reconnected? How can it be checked? What should I do if the vas deferens was cut, leading to recurrent epididymitis? I have also read that scrotal swelling is often due to cutting lymphatic vessels, which makes me worry about whether anything else was cut that could cause recurrent inflammation of the testicles, and the varicocele has not improved.

Additionally, I want to ask objectively if the presence of Staphylococcus could still be an issue, given that I was hospitalized and treated for it.
Another objective fact is that if the varicocele recurred, I only have mild varicocele, which the doctor did not detect through palpation but was seen on ultrasound.
It should not cause such severe pain, right? Before the surgery, the mild varicocele was manageable with just acetaminophen, but I opted for surgery to avoid having to lie down every day, thinking it was a minor procedure, which led to severe pain afterward.

Post-surgery actions taken:
1.
Extracorporeal shockwave therapy six times, diagnosed with chronic pelvic pain, which was completely ineffective.

2.
Took various antibiotics for over three months, which were also completely ineffective.

3.
Hospitalized for antibiotic treatment, which did not help.

I feel that the only remaining explanation for my condition is that something went wrong during the surgery.
However, since I cannot get answers from the surgeon, I just want to know what to do.
What should I do if the vas deferens was cut and is causing recurrent inflammation?

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Ray, 20~29 year old female. Ask Date: 2023/07/13