Pain from vasectomy 10+ years ago

Hello all just reaching out to see who you went to for the dull ache of what I can only assume is pvps. I have pain on and off for at least 7years of so but always chocked it up to sitting wrong or jumping down off something to hard. Though it just seems like itd getting worse this last month or so. As I read through most of the forums it doesn't seem like too much has worked for most of you. What have you done to deal with it? Thanks I've tried different underwear looser, tighter, you name it. Ice, but it always comes comes back. Any help thanks.