Patient presents with complaints consistent with post-vasectomy pain syndrome (PVPS), characterized by chronic or intermittent scrotal pain, testicular pain, or epididymal pain following vasectomy.  Onset of pain varies, ranging from immediately post-operative to months or even years later.  The patient describes the pain as [insert pain descriptor e.g., aching, burning, sharp, throbbing, constant, intermittent].  Pain intensity is reported as [insert pain scale rating and scale used e.g., 7/10 on a visual analog scale].  Physical examination reveals [insert findings e.g., tenderness to palpation of the epididymis, spermatic cord thickening, normal testicular size and consistency, presence or absence of a sperm granuloma].  Differential diagnoses considered include epididymitis, orchialgia, inguinal hernia, and nerve entrapment.  The patient's medical history is significant for [list relevant medical history, including date of vasectomy].  Current medications include [list current medications].  Allergies include [list allergies].  Plan includes [outline treatment plan e.g.,  conservative management with NSAIDs, scrotal support, nerve blocks, discussion of potential surgical options such as vasectomy reversal or microsurgical denervation, referral to pain management specialist if indicated].  Patient education provided regarding the potential chronic nature of PVPS and the importance of follow-up.  ICD-10 code N49.89 (Other specified disorders of male genital organs) and CPT codes for procedures performed, if applicable, will be documented.  Return visit scheduled for [date].