Constipation from Enlarged Prostate

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gibson00
Regular Member


Date Joined Nov 2009
Total Posts : 200
   Posted 2/1/2010 11:27 AM (GMT -6)   
Hi all, have any of you suffered from bad constipation due to the enlarged prostate pushing in on the rectum??
We've been trying supositories, milk of mag, stool softeners, etc.
But the doc thinks it is due to the enlarged prostate pushing in.
Waiting for Radiation in a couple of months (currently on Lupron only), which will hopefully shrink it back.

Any advice?!

Thanks!

JStars
Regular Member


Date Joined Oct 2005
Total Posts : 455
   Posted 2/1/2010 1:03 PM (GMT -6)   
Yep I had a mega-enlarged prostate and during the last few months before surgery and it was definitely somewhat obstructing bowel movements. (And i could feel it pressing into wall of colon too -- don't ask how).

My uro had originally told me (before we knew about the PCa) that I could have had a prostatectomy to remove it just for the BPH-hell-of-it. Anyone who has a RRP just for BPH alone must be a really pissed and sullen puppy for the rest of their life I will guess. (but at least no worries about future PCa and of course peeing like a 17 year old is really nice).

After my surgery and all this last year its been one wonderful bowel movement after another -- no troubles at all.

I am not sure if something like Avodart would have managed to reduce the prostate to a more manageable level or not -- never got that opportunity.

That's my story and I'm stickin' to it ...
Age 58, 57 at DX, PSA Aug2008 7 4 ... June2007 4.7 (BPH + LUTS)
11/2008 Biopsy: 1 of 12 cores 5%, Gleason 3+3 - Sona showed size 140+ cc (110 grams post op).
02/03/09 open RRP surgery , Nerve sparing both sides, 1 day in hospital, Day 4 first BM,
Pathology Report: All margins clear - No Invasive spread - no change in Gleason score.
02/18/09 Cath out, passed a 1cm oblong STONE within hours.
03/06/09 Started Levitra@20mg / Viagra@100mg / (04/01) Cialis@20mg -- no real effect (thru 01/2010).
04/01/09, 07/07/09, 10/01/09, 01/15/10 PSA <0.1
08/09 MUSE@1000mcg +pump&plump - (80-90%) (alpro ache).
09/09 MUSE@500mcg +pump&plump + 2 advil - (80-90%) - (less Alpro ache).
10/09 TrimixGel@(500/300/100mcg): 1st:60%, 2nd:(pump&plump) 60%, 3rd(added 500mcg muse):70-80% --
12/09 MUSE@500mcg+Cialis@20 working well (>90%) and useful erection.
01/2010 TrimixGel@1000/300/100mcg ordered for one more try:

Post Edited (JimStars) : 2/1/2010 1:41:44 PM (GMT-7)


gibson00
Regular Member


Date Joined Nov 2009
Total Posts : 200
   Posted 2/1/2010 1:14 PM (GMT -6)   
Thanks for the reply.
In this case, it is Gleason 9 & 10, stage 3 (seminal involvement), so I don't think surgery is on the table right now. Due to start radiation in about 8 weeks.
Is it true you can't have it removed once you've had radiation?? Thought I had read that somewhere, but wasn't sure what the reason was.
Anyway, hopefully the radiation will shrink it a bit, as the Lupron doesn't seem to be doing that..

JStars
Regular Member


Date Joined Oct 2005
Total Posts : 455
   Posted 2/1/2010 3:40 PM (GMT -6)   
Wow that is a tough set of numbers!

And I don't suppose the prostate size is going to go down after radiation -- at least not for a while.

I don't suppose they (your Uro) would make an exception for you and do the surgery first anyways ?

No doubt you are also looking at reduced urinary flow etc already right? That too will
be aggravated by radiation.

Well, worth a shot with your Uro/Surgeon to see what they might think. I mean they do radiation after surgery all the time ... just only when they THOUGHT it was contained but wasn't.

In your case they would just know they would probably need radiation afterwards (unless of course you were lucky and they got it all with surgery because they knew they had to agressively go for everything ...).

Tricky stuff ....

Jim
Age 58, 57 at DX, PSA Aug2008 7 4 ... June2007 4.7 (BPH + LUTS)
11/2008 Biopsy: 1 of 12 cores 5%, Gleason 3+3 - Sona showed size 140+ cc (110 grams post op).
02/03/09 open RRP surgery , Nerve sparing both sides, 1 day in hospital, Day 4 first BM,
Pathology Report: All margins clear - No Invasive spread - no change in Gleason score.
02/18/09 Cath out, passed a 1cm oblong STONE within hours.
03/06/09 Started Levitra@20mg / Viagra@100mg / (04/01) Cialis@20mg -- no real effect (thru 01/2010).
04/01/09, 07/07/09, 10/01/09, 01/15/10 PSA <0.1
08/09 MUSE@1000mcg +pump&plump - (80-90%) (alpro ache).
09/09 MUSE@500mcg +pump&plump + 2 advil - (80-90%) - (less Alpro ache).
10/09 TrimixGel@(500/300/100mcg): 1st:60%, 2nd:(pump&plump) 60%, 3rd(added 500mcg muse):70-80% --
12/09 MUSE@500mcg+Cialis@20 working well (>90%) and useful erection.
01/2010 TrimixGel@1000/300/100mcg ordered for one more try:


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2621
   Posted 2/1/2010 7:33 PM (GMT -6)   
The radiation kind of cooks the prostate to the rectum and surrounding tissue. Makes it real hard to remove.
Goodlife
 
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01

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