The doc told me that in some people the sperm that cannot escape buld up pressure and it is like having been kicked in the balls after ejaculating. Ouch. She said that one of her patients had it so bad that he begged her to cut off his testicles!!! I have done some research since and have found there is an "Open ended" vasectomy that leaves the tube from the testicles open and the sperm then just swim around the scrotum looking for an egg that ain't never gonna be there. That sounds OK to me. I will ask the doc about it next visit but your experience would suggest it doesn't make any difference anyway. I guess it is something to talk over with W though.