Surgeon - Keith A. Waguespack, M.D.
Las Colinas and Plano Offices
I too had pain when urinating and in the rectal/perineal area. What exactly "pain" do you have? I had a bladder infection that did not follow the norm. When I would urinate, I could empty very easily but it was like I had not real control. Out it would come with great force and then done. At that point I would then get a pain or slight burning effect for a few minutes. (I had a bladder infection about 7 years ago and it burnt badly so I didn't think this was the same thing.)
The pain in the rectal area went away a few weeks after the bladder infection was cured. I do not know if they were connected actually or not, but the doc felt it probably was. Anyway it has been not quite three months and I basically have no incontinence and no pain and no ED.
Do try to leave the messasge with the nurse as suggested in another post. My doctor is terribly busy in this research/training hospital so I would leave the message and someone would call back with the answers. You need to know what is hapening.
I had my surgery on Sept 18 too. Yes had a little burning sensation when urinating like you mentioned. My doc says it's normal and will subside within a few more weeks. It is caused by the catheter unless you have an infection as mentioned earlier.
The rectal pain varies depending on individual because the prostate is actually peeled away from the rectal wall. Like taking a bandaid off the skin..sometimes it sticks really good and will hurt some..other times it just comes right off. It will pass with time and healing.
My incontinence and ED is about the same level as yours and getting better all the time.
Good luck and hang in there, it will get better!
April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior
June '08 had biopsy, 2 days later told results positive but in less than 1% of sample
Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days
Dr. recommended robotic removal using da Vinci
Northwestern Memorial Hospital, Chicago, IL
Dr. Robert Nadler, Urologist/Surgeon
Post-op Gleason's: 3+3, Tertiary 4
Bladder & Urethral: Free
Seminal vesicles: Not involved
Lymphatic/Vascular Invasion: Not involved
Tumor: T2c; Location: Bilateral; Volume: 20%
Catheter: Removed 12-days after surgery
Incontinent: Yes (19 days post-op)
Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08
Returned to work 9-29-08 (18-19 days post-op)
I had pain in the rear (rectal area), to the extent I used a "donut" for a month or so when seated. I even modified a seat pad for my car (cut a hole in it) so I would not agitate the area while driving. All evidence of the problem dissappeared completely, so I threw away my devices at week 6.
With regard to the stinging while urinating; I suffered similar sensations for about six weeks. It may have been due to excessive walking (4 miles a day) while the catheter was in place (8 days). My pain was near the end of my penis, where the cath's tube entered.
My surgery was open
Heart of Florida Hospital, Davenport, Fl.
PSA was4.7 went up to 5.3 in one month
Biopsy cancer in right apex 1 core
right lat mid 2 cores of cancer.
doctor says we caught it early.
Post Edited (Patrick Ledwidge) : 8/6/2009 3:17:16 PM (GMT-6)
Greetings, Patrick. Ditto to what David in S.C. said. The rectal pain is very normal and if you are gaining continence in less than two months you are doing great. ED is an issue we all deal with from time to time and have various ways to deal with it. I would encourage you to make your wife a part of the solution. This affects her to and if she is anything like my wife, she wants to be as helpful as she can be in getting things back to normal.
Quick story that I thought was funny - several years ago my wife complained that she could never buy me anything because as a CPA I was always looking online at our credit cards and our online activity and we always had joint checking and savings accounts which I also monitored online. Also, I did all the reconciliations and I decided she needed to be able to handle all those kinds of things if something ever happened to me. So we got her a Mastercard and her own checking account that she is totally responsible for. We have an AMEX card that I monitor and reconcile. The last time I ordered ED drugs from ADC they were having problems with credit cards and no longer took AMEX. She had to go get a money order and so she ended up paying for my ED drugs from her account. I told her I thought that was appropriate since she received the benefit of those drugs. Oh well, we thought it was funny.
Sounds as if you are right on target with your progress. Please keep us posted on how things are going. David
Hi, and welcome to HW Patrick,
I agree with the others. It is normal. I've had a lot of rectal pain since surgery. Some of it, a day stopper. It does get better and is, for me. I was told that due to multiple bouts of prostatitis, I had a fair bit of scar tissue. Since the prostate has connective tissue to the rectum that has to be scraped away from the rectum, there was some damage done during the prostatectomy. Better than a temporary colostomy.
It does get better.
Good luck on your recovery.