I have never heard of pain in lymph nodes being a symptom, but like oldcoot, I am not an expert here.
There is a procedure that can be done to examine the lymph nodes before full blown surgery to remove the prostate....or before other treatment options are followed.
Here is a cut and paste on this topic from the U. of PA medical center site:
"Laparoscopic lymph node dissection
If there is a good chance the prostate cancer has already spread to the lymph nodes, then it makes sense to check those lymph nodes before having major surgery. A laparoscopic lymph node dissection is a minimally invasive procedure to remove lymph nodes. The surgeon makes a number of tiny incisions just below the navel and, to increase the workspace, pumps air into the abdomen. A laparoscope, a slim tube with a tiny camera on the end, is inserted into one incision and, while watching the procedure on a TV monitor, the surgeon inserts instruments through the other incisions and removes the lymph nodes."
If lymph nodes are involved, the sooner you know the better, in my opinion.
Danman Bob, Born 1951
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14; Biopsy result - 9 of 12 sticks showed cancer
Post-op pathology stated that cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of late April 2008)
100 MG Viagra 3 times a week beginning December 2007
Osbon Erec-Aid Esteem manual pump for therapy beginning mid-February 2008
30 MG papaverine/1 MG phentolamine bimix injections beginning late April 2008
Five week post-op PSA 0.2, five month post-op PSA 0.1, next test August 2008
Post Edited (DanmanBob) : 6/9/2008 9:11:28 PM (GMT-6)