What do you recommend for a man with 6 months of moderate to severe epididymal pain beginning 3 months after vasectomy and no response to NSAIDs?

At this point, it falls under the bucket of post-vasectomy pain. NSAIDs are certainly first-line. I would have also given a trial of antibiotics (Levaquin typically) by this point. Then it becomes a discussion around more invasive options - epididymectomy, spermatic cord denervation, vas reversal. A...