pain in the rear ..

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lemonlime1
Regular Member


Date Joined Aug 2008
Total Posts : 34
   Posted 10/6/2008 7:00 AM (GMT -7)   
  good morning gentelmen . 48 yrs old 9 weeks out of robotic , is it normal to still get the pain in the rear end . wow is it bad yesterday and today it went away a while ago and then back 2 days ago .. just wondering, any one else have this experience thank you guys have a good day lemon lime ....

Roger G
Regular Member


Date Joined Apr 2008
Total Posts : 150
   Posted 10/6/2008 7:49 AM (GMT -7)   
I'm not sure if it's normal or not, but I did have a lot of pain in the rear after surgery. I currently still having issue, but I think these are more related to hemmirods.

I'd give it until your 3 month checkup, but make sure you mention it to your doctor.

What kind of surgery did your have. Maybe you could add a signature??
Age: 43 (2008)
DRE Small Ridge on prostate, PSA 1.5
07/2007: Diagnosed cancer, T2c, Gleason 3+4=7
08/2007: Bone Scan found something on my skull. PCa surgery on hold
             Had piece of skull removed to test for PCa.
09/2007: Laparoscopic prostectomy @ Hamilton General, 4 hrs.
             Both nerve bundles spared
             Pathology Report: Tumour confined w/in prostate
             T2c, Gleason is 3+3=6
             Went home with JP drain
10/2007: Made return trip to hospital.  All urine was coming out JP drain.
10/2007: Catheter removed. Next to no leakage
11/2007: 1st PSA <.003.  Started Viagra for ED, no response yet.
             Having some issue with Vertigo from skull operation.
12/2007: Had confidence to go padless!!!!!
12/2007: ED:  Stopped Viagra as it's causing hemroid problems.
01/2008: 2nd PSA <.003 :) ED: next to no response.
             Vertigo is subsiding.
04/2008: 3nd PSA <.003 :) ED: Changed the Viagra prescription.
07/2008: 4nd PSA <.003 :) ED: Still NADA.  Changing to Cialis.
             Dizzy spells are occurring more often
09/2008: Trying Levitra 


Frank1205
Regular Member


Date Joined Feb 2008
Total Posts : 308
   Posted 10/6/2008 7:56 AM (GMT -7)   

That's why I love this site.  Just when you think your nuts another brother comes along with the same problem. 

I too have problems in that area.  Mostly sitting or just standing.  I am six months out of surgery and am about to see my gastro doc and say whats up.  Never had hemmroids before but certainly could be.

Frank

 

 


Diagnosed 01-08-08 @ 53 years old 
DRE normal , 2004 Biospy negative - 2008 Biopsy positive (01-08-08)
10 cores, 1 positive and at 1% of that one core
PSA @ surgery 6 
Bone and Ct scans negative
clinicaly Staged at T1C - Gleason 3+3 = 6
Robotic Da Vinci performed March 27th, 2008
University of Chicago,Hospital stay 30 hours - Catheter out in 7 days  normaly expected leakage Erectile function better with Viagra
Post Pathology T2C, Gleason 7, 10 % of both portions of prostate, Seminal vessels clear, fat tissue clear,Tumor on top of prostate. 1 positve margin measureing less than .5 ml at urethra and bladder..
Six week PSA < 0.1 , 4 month PSA <.05 Gen II test.  Urologist recomends to hold off on Radiation and watch PSA closely. Oncologist and Radiation Oncologist seem to lean to doing pre-emptive radiation.Uroligist says 50/50 chance of PSA re-occurence.  
I have decided to hold off and see for 3 months.
Next PSA October...
 
 
 
 


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 10/6/2008 8:20 AM (GMT -7)   
I'm about 4-weeks post-op.  When I had the catheter in I experienced difficulty/pain sitting in a chair, for more than a couple of minutes.  Once the catheter was out I could sit for extended periods.  I returned to work a week ago and I sit in front of a computer for about 7 hours daily.  At times I have some slight discomfort, so I get up and walk about.  I've been having a slight burning / pain on my lower left side and am wondering what that's about, and when I see my Urologist/surgeon for our first post-op exam / testing tomorrow afternoon I'll make him aware of it and see what he says.

Age:  59 (58 at diagnosis - June, 2008)

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

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

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)

 


Frank1205
Regular Member


Date Joined Feb 2008
Total Posts : 308
   Posted 10/6/2008 9:05 AM (GMT -7)   
Mavica,
Dr. Nadler was my other choice for Doc.  Good for you.  I thought Northwestern and Nadler were just great folks.  You had a truly great Doc.
 
I remember the pain in my left side lasting for quite a while as well.  I was told this is the largest incision they make and where they take the prostate out from.  Take it easy.  Watch that you dont get a hernia at this site.  This area was my last to heal. 
Diagnosed 01-08-08 @ 53 years old 
DRE normal , 2004 Biospy negative - 2008 Biopsy positive (01-08-08)
10 cores, 1 positive and at 1% of that one core
PSA @ surgery 6 
Bone and Ct scans negative
clinicaly Staged at T1C - Gleason 3+3 = 6
Robotic Da Vinci performed March 27th, 2008
University of Chicago,Hospital stay 30 hours - Catheter out in 7 days  normaly expected leakage Erectile function better with Viagra
Post Pathology T2C, Gleason 7, 10 % of both portions of prostate, Seminal vessels clear, fat tissue clear,Tumor on top of prostate. 1 positve margin measureing less than .5 ml at urethra and bladder..
Six week PSA < 0.1 , 4 month PSA <.05 Gen II test.  Urologist recomends to hold off on Radiation and watch PSA closely. Oncologist and Radiation Oncologist seem to lean to doing pre-emptive radiation.Uroligist says 50/50 chance of PSA re-occurence.  
I have decided to hold off and see for 3 months.
Next PSA October...
Six Month PSA 0.010,  undetectable per Urologist
Next PSA Six months or at one year (March)
 
 
 
 


Smokie
Regular Member


Date Joined Oct 2008
Total Posts : 46
   Posted 10/6/2008 9:06 AM (GMT -7)   
Mine hurt so bad that I wound up at the butt Dr. six months after RP. He told me I had internal hemoroids and a fissure (a small tear in the colon). He gave me some cream and told me to take warm baths and eat fiber. It took a couple of weeks, but it did go away.
Age: 43
RP: 9/06
Robotic, nerves spared
PSA: good (less than .05)
Currently dealing with RSD (nerve damage) in right arm, caused from breaking my wrist in spring 08 while trout fishing with son. Not related to ED, just general info about the year I'm having so far.


Frank1205
Regular Member


Date Joined Feb 2008
Total Posts : 308
   Posted 10/6/2008 9:17 AM (GMT -7)   

Smokie,

I will try the warm baths.  Thanks for the tip. 

I am sorry, I have to ask. I am an avid fisherman as well so how did you break your wrist trout fishing.

 

Frank

 


Diagnosed 01-08-08 @ 53 years old 
DRE normal , 2004 Biospy negative - 2008 Biopsy positive (01-08-08)
10 cores, 1 positive and at 1% of that one core
PSA @ surgery 6 
Bone and Ct scans negative
clinicaly Staged at T1C - Gleason 3+3 = 6
Robotic Da Vinci performed March 27th, 2008
University of Chicago,Hospital stay 30 hours - Catheter out in 7 days  normaly expected leakage Erectile function better with Viagra
Post Pathology T2C, Gleason 7, 10 % of both portions of prostate, Seminal vessels clear, fat tissue clear,Tumor on top of prostate. 1 positve margin measureing less than .5 ml at urethra and bladder..
Six week PSA < 0.1 , 4 month PSA <.05 Gen II test.  Urologist recomends to hold off on Radiation and watch PSA closely. Oncologist and Radiation Oncologist seem to lean to doing pre-emptive radiation.Uroligist says 50/50 chance of PSA re-occurence.  
I have decided to hold off and see for 3 months.
Next PSA October...
Six Month PSA 0.010,  undetectable per Urologist
Next PSA Six months or at one year (March)
 
 
 
 


Smokie
Regular Member


Date Joined Oct 2008
Total Posts : 46
   Posted 10/7/2008 4:56 AM (GMT -7)   

I'd love to say I was fighting a lunker who was so strong...

In reality, however, I was rock-hopping, slipped and fell. I had my rod in my left hand, so I held it up and caught my fall on my out-stretched right hand. I was about 3' above the water, so the fall broke my wrist to the point where I now have a metal plate installed, did a number on my elbow, dislocated my shoulder, and tore my rotator cuff.

It's rough getting old.


Age: 43
RP: 9/06
Robotic, nerves spared
PSA: good (less than .05)
Currently dealing with RSD (nerve damage) in right arm, caused from breaking my wrist in spring 08 while trout fishing with son. Not related to ED, just general info about the year I'm having so far.


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4815
   Posted 10/7/2008 5:32 AM (GMT -7)   

FYI – a bit of info to share with people that have pain while sitting AND still have the catheter in.

 

The catheter is filled with a saline solution. Mine was filled with 15ml (milliliters I think) which I understand is a normal amount. I had my catheter in for five weeks. Sitting in a desk chair for eight hours re-defined “pain in the butt.”

 

My surgeon removed a third of the solution which made a tremendous difference.

 

The slight downside to removing some of the fluid was a little extra leakage but well worth it turn


Age 53   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Gleason - 6
(biopsy done March 4, 2008-> 2 of 12)
 
06/25/08 - Da Vinci robotic laparoscopy
10/03/08 - 1st Quarter PSA -> less then .01
 

Surgeon - Keith A. Waguespack, M.D.

Las Colinas and Plano Offices

 


califguy
Regular Member


Date Joined Sep 2008
Total Posts : 72
   Posted 10/7/2008 8:48 PM (GMT -7)   
confused  What exactly do you mean by pain in the rear? I had horrible hemorrhoids after surgery but what really hurt was the area where the prostate was removed. Everytime a BM passed by it hurt terribly. If I sat very long that area hurt. Even my kegels would cause bad pain.
 
Hemorrhoid medicaine cleared that problem right up. Suddenly about 9 weeks my other pain got better. My doc had thought maybe I had an slight infection that went away. (I did have a bladder infection that I was treated for.)
 
Bill


Don't get discouraged!!
CalifGuy
 
Diagnosed Feb 2008  54 years old
3+4=7 gleason
7.5 PSA
4 out of 20 biopsies were cancerous
daVinci Robotic surgery July 24, 2008
Univ of Calif San Francisco Med Center  Dr Peter Carroll
In hospital 2 nights altho I had option of leaving the next day but stayed due to distance home.
Contained in prostate, not spread
Six weeks post surgery PSA less than .01

Post Edited (califguy) : 10/7/2008 9:59:51 PM (GMT-6)


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 10/7/2008 9:41 PM (GMT -7)   
I've had no bowel movement issues - because I've been taking, as directed by my Urologist, a stool softener twice daily. Regarding saline solution and the catheter - I was not directed to place any of the solution in the bag and I had no discomfort other than when I sat on a hard chair.


Age:  59 (58 at diagnosis - June, 2008)

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

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

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)

 

Post Edited (Mavica) : 10/7/2008 10:44:28 PM (GMT-6)


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 10/7/2008 9:52 PM (GMT -7)   
Frank 1205: Dr. Nadler and the team at Northwestern are, from what I've learned, amongst the best in the USA when it comes to the da Vinci procedure. I had a post-op visit (about one month since surgery) with Nadler today and he said my side pain was normal (partly because I've returned to work earlier than is typical for his patients), my incontenence is normal - that improvements are typically seen at the 3 > 6 month stage, and that my incisions had healed normally. He cautioned me to continue the Kegel exercises. I've been fatigued lately and he said he thinks my Iron is low and I should take some supplements, which I will. Blood was drawn for a post-op PSA test to establish a baseline. I'll visit with the Urologist again in 3-months.

Age:  59 (58 at diagnosis - June, 2008)

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

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

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)

 


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 10/8/2008 7:05 AM (GMT -7)   
Mavica, what Steve means, I think, is saline is used to inflate the bulb that holds the catheter inside the bladder, so you will have some in the bulb and the line to it, which begins outside the body with an injection port. The saline is at all times seperate from the bladder itself. The saline fills the bulb, which makes for a semi-rigid piece inside the neck of the bladder, just at the point where most of the stitching is done, so there's possible pressure and rubbing there, causing pain and discomfort in certain positions and with over-exertion.
James C.
Co-Moderator- Prostate Cancer Forum
www.healingwell.com/donate</A>
Age 61
4/19/07 PSA 7.6, referred to Urologist, recheck 6.7
7/11/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/24/07 (open) Retropubic Radical Prostatectomy performed
9/26/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
10/15/07 ED- begin 50mg Viagra and Vacurect pump nightly, Fully continent
1/14/08 Caverject started/stopped, aching. 2/24/08 .5ml Bimix started-success
Present- 1 year: ED- Viagra, pump continues, no response- Trimix .10ml x 2 weekly continues
Post Surgery PSA's: 3 mts-0, 6 mts.-0, 9 mts.-0.


Roger G
Regular Member


Date Joined Apr 2008
Total Posts : 150
   Posted 10/9/2008 6:30 AM (GMT -7)   
Butt Doctor... I like that. I'm off to see one next week. I'm hoping it's something simple.


Age: 43 (2008)
DRE Small Ridge on prostate, PSA 1.5
07/2007: Diagnosed cancer, T2c, Gleason 3+4=7
08/2007: Bone Scan found something on my skull. PCa surgery on hold
             Had piece of skull removed to test for PCa.
09/2007: Laparoscopic prostectomy @ Hamilton General, 4 hrs.
             Both nerve bundles spared
             Pathology Report: Tumour confined w/in prostate
             T2c, Gleason is 3+3=6
             Went home with JP drain
10/2007: Made return trip to hospital.  All urine was coming out JP drain.
10/2007: Catheter removed. Next to no leakage
11/2007: 1st PSA <.003.  Started Viagra for ED, no response yet.
             Having some issue with Vertigo from skull operation.
12/2007: Had confidence to go padless!!!!!
12/2007: ED:  Stopped Viagra as it's causing hemroid problems.
01/2008: 2nd PSA <.003 :) ED: next to no response.
             Vertigo is subsiding.
04/2008: 3nd PSA <.003 :) ED: Changed the Viagra prescription.
07/2008: 4nd PSA <.003 :) ED: Still NADA.  Changing to Cialis.
             Dizzy spells are occurring more often
09/2008: Trying Levitra 


kcragman
Regular Member


Date Joined May 2008
Total Posts : 240
   Posted 10/10/2008 10:32 AM (GMT -7)   
I was a HUGE butt pain guy. It felt like somebody kicked me right in the rear end, and I had a very hard time sitting down at first. I experienced great improvement right around the 6 week mark, and it really has not been an issue since. But I lost 6 weeks of "kegeling" because it was just too painful to do it.

I am told that the prostate sits right up against the rectal wall, and in some cases they actually have to "shave" it off the wall. But in any case you can have quite a bit of rectal wall pain (or butt pain). Of course, some guys have almost none.

I am 22 weeks post op - leaking less than 2 ounces a day (yes, I weigh my pads), and making steady progress. I wish it was faster - but I am so used to it now that it now that I almost don't notice it.

kcragman
Age: 52
March 2006: PSA 2.5

Dec 2007: PSA taken for insurance application. I did not see the results until late Jan '08 - after I was rejected. Their lab said PSA 4.5. PSA again in Feb '08: 3.7.

March 2008: Biopsy. Gleason 7 (4+3) 12 cores taken. 5 on the left side were cancerous and the 6th did not look good.

May 5, 2008: Da Vinci robotic laparoscopy at GW Hospital, Washington DC.

Post op: Gleason 9 (4+5). 15% of prostate involved. Stage: pT3a. Negative margins. Lymph nodes and associated glands all appear to be cancer free.

July 2008: PSA at 7 weeks was undetectable.
August 2008: PSA at 14 weeks (3 months) was undetectable.


montee
Regular Member


Date Joined Mar 2007
Total Posts : 315
   Posted 10/11/2008 4:45 AM (GMT -7)   

I am almost 2 years post surgery and have had internal and external hemorroid problem since surgery.  And right after for about 6 mos also the pain where the prostate was.

But I guess it is appropriate that I have pain in the butt, as my wife sometimes tells me that I am.


diagnosed sept 2006 @ 54 years old, live in Georgia
 biopsy report gleason 3+4=7, right lobe only
psa 4.7  (psa rose 1 point per year for 3 years, urologist said still under 4 and no concern.  If I can find out about PSA velocity, why didn't he know!)
Told not to have surgery at Dana Farber as cancer had already penetrated prostate, in seminal vesicles, would have positive margins. Would only treat with radiation and HT
RP Emory Atlanta December 2006
Path-negative margins, negative lymph nodes
negative seminal vesicles, multifocal perineural invasion, both lobes involved
40% gland involved
gleason 3+4=7
Fully continent 2 weeks post catheter removal
1st psa April 2007-<0.04
 6 Mos PSA <0.04
9 mos PSA still <0.04
12 mos PSA still <0.04
15 mos PSA <0.04 (3-21-2008) 
18 mos PSA <0.04 (6-25-2008)
21 mos PSA <0.04 (9-10-2008)
Blessed

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