Anal Fissure & PC treatment

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Been there
Regular Member

Date Joined Jun 2008
Total Posts : 22
   Posted 7/14/2008 8:58 PM (GMT -6)   
After complaining here about PC post external radiation pain I had a sigmoidscopy done. The result was I have an anal fissure. they even gave me a photo of it.
Has anyone here had a simlar experience? If so, what did you do about it? Did it get better? It is very painful now.
Looking back on my own experience I suggest that everyone get their rectal problems taken care of prior to any kind of radiation, although a colonscopy I had prior to begining treatment was negative. Always use stool softeners at the slightest hint of constipation!!!! Also, remain upbeat, do not get anxious or depressed -- it works against you!
PS: I am NOT a doctor.
Regards to all,

Veteran Member

Date Joined Jun 2005
Total Posts : 528
   Posted 7/14/2008 9:00 PM (GMT -6)   
Been There-

Good advice.

1/2005 Dx PSA 26.5 Gleason 7 (4+3) @Age 61
1/2005 Start Casodex and Zoladex
PSA drops to <0.01
7/2005-8/2005 5 weeks of IMRT and then HDR brachy
1/2007 Rad Oncologist orders CT scan of pelvis
because of complaints of pain in both thighs
MRI confirms pain not caused by cancer BUT
1/2007 CT scan of pelvis picks up a nodule at bottom of left lung
5/2007 CT scan of lungs shows 1/2007 nodule has grown and
there are numerous nodules on both lungs.
6/2007 Thoracic surgeon removes wedge of left lung for biopsy
6/2007 Path report says 95% chance of metastatic PCa, but she's
never seen cells like this before.
8/2007 2nd opinion at M.D. Anderson in Houston.
They confirm: mutated PCa, very rare, but seen there 2 or
3 times. Recommendation: have CT scans every 6 weeks
and watch for change. At that point start chemo and will
survive for 22 - 24 months thereafter.
PSA still undetectable, but get Lupron shot to bring T down from 27
2/2008 Trip to Houston – PSA now 0.5 and nodules larger. Lupron shot.
6/2008 Trip to Houston - Finally got results from doc. A number of lung nodules have grown, but, more important to him, is the fact that the malignant lesion on my pelvis seems to have flared up and he wants me to start chemo. He said I could wait a few months, but I told him I want to start now. He to get me signed up for a clinical trial in nearby NY.

Veteran Member

Date Joined Apr 2008
Total Posts : 1382
   Posted 7/15/2008 5:30 AM (GMT -6)   
I to have had anal fissures more than once and I was given hydrocortifoam, not sure I spelled it correct but it does work, and it is important to keep the stools loose during the healing process.

peace and love
My PSA at diagnosis was 16.3
age 46 (current)
My gleason score from prostate was 4+5=9 and from the lymph nodes was 4+4=8
I had 44 IMRT's
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
latest PSA 5-27-08 0.11
cancer in 4 of 6 cores

Regular Member

Date Joined May 2008
Total Posts : 70
   Posted 7/15/2008 2:46 PM (GMT -6)   

I feel for you. I had them years ago and yes, they are very painful. I was given cortisone suppositories to take to help heal them but it took a good three months to do so. The only thing I would suggest is you get a pillow or tube with a hole in to sit on that's what I had to use in order to sit and be comfortable at work. I was just getting ready to see a Proctologist to have it surgically fixed when the pain started to subside. It takes a long time because it's in the dirtiest area of your body but they will heal eventually.


Veteran Member

Date Joined Jul 2008
Total Posts : 637
   Posted 7/17/2008 7:15 AM (GMT -6)   
Been there, Is a fissure the same as a fistula? My husband got a fistula after salvage surgery. The previous radiation did not heal and the fistula was a small hole between the rectum and the bladder. He had to have surgery to repair it, and he had a catheter in for amost a year. Di
Husband Pete
dx Jan 2001 age 67 gleason 4 + 3 PSA 16.5
seed implant and conformal radiation Lupron from Jan 2001 to Jan2002
2005 Dec PSA began to rise from .5 to 8 within 6 months
Salvage surgery at MSK 9/06
Fistula operation 2/07 MSK
Many cystoscopies and ER visits with strictures
catheter for one year....Catheter taken out Sept 07..
Total Incontinence since then....
PSA .52 3/07
In line for AUS possibly in Sept 08

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