My husband, too, had the same problem. He discovered there are two types of surgeries (two incisions to work on each artery or one larger incision to work on both arteries). Most doctors will want to make only one cut - faster and they get paid the same regardless. He insisted on the one he wanted. Also, he was experiencing allot of heat and some pain so he had the doctor bill it as needed surgery - our fertility coverage was only 50%.
We did not conceive again (probably due to my age) but, we have been able to add another little girl to our home and, hopefully, she will be a forever daughter soon.
And, my husband is much more comfortable in his pants (he he).