Post Prostate Op pain

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RMW
New Member


Date Joined Nov 2008
Total Posts : 2
   Posted 11/26/2008 7:19 PM (GMT -6)   
Well what a fantastic site.  :-)   I had my radical prostatectomy done abut 2 months ago. Post op recovery went extremely well was up walking and showering the next day. Operation scar healed well, internal site a little soreness at first but after a a couple of weeks all good.
Now the bad news. 10 days or so after op date found it extremely difficult to walk without severe pain in my groin. Infact was using 2 walking sticks. Went back to surgeon who ordered an ultrasound. Result was all clear. Local Doc put me on Voltaren. 2 weeks further on now only on 1 walking stick but still a lot of pain so back to local Doc again. This time he ordered a Cat Scan. You guessed it, all clear but showed a slight build up of tissue though this is normal post op. Yeah "normal" alright why cant I walk properly Doc?? shakehead Well now no walking stick, have a bit of a wobble, still some great discomfort some days, pop a couple of Ibopufen  usually helps. The local Doc now wants me to hve a bone scan.I'm thinking about it.Well it is now 8 weeks out and things seem to be getting better slowly ( or is it just me getting used to the discomfort ) Other strange thing is I can only sleep on my back or stomach because if I lie on either side pelvic pain is too strong.
 

kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 11/26/2008 9:59 PM (GMT -6)   
Sorry to welcome you here RMW. I really don't have any advice other that keep checkin with your doctor. If you do not mind please add some stats on your thread so we can try to help.
KW
    43 at Dx and Surgery (RRP)
    PSA 5.7, Biopsy 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
    RRP on Oct. 17, 2006 - Nerves on right side saved. All Lab's clear. 
    Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006
    First Post op PSA on Dec. 11, 2006  Undetectable 0.00.
    ED workable and usable with Viagra.
    Feb. 20th, 2007 - Feb. 4th, 2008  Cystoscope, Two Collagen injections,Second Opinion Consultation for Incontinance at OU Medical Center, Bio-Feedback training, Chiropractic, Accupuncture  to try to resolve ongoing incontinance (4-6 pads a day)  All PSA's 0.00.
    Feb. 22nd, 2008 - Surgery to install the AMS AdVance Male Sling.
    March 27th, 2008 - Sling not working, Little or no improvement.
    April 18, 2008 - Collagen injection.  Back to using 4-6 full pads a day within a week.
    May 14, 2008 - Another collagen injection to try to Band-Aid the leaking for our June cruise.  Will start making conusultation appiontments for AUS after we return.
    July 14th, 2008 - AUS consultation with Dr. Morey at UT Southwestern (Dallas).
    July 30, PSA 0.00.
    Aug. 22nd, 2008 - AUS Surgery by Dr. Morey
    Oct. 6th, 2008 - AUS Activation by Dr. Morey
     


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 11/26/2008 10:43 PM (GMT -6)   
I had a somewhat similar episode to yours -- diagnosed as "spinal claudication". Started about two weeks after surgery, and symptoms were a serious ache in one leg that came on after about half-an-hour walking. Went away after resting the leg. Then about a further month later, the problem went away of its own accord and seven months later, it hasn't been back.
 
To rule out bone mets, I had an early PSA test -- you can't have bone mets with a PSA of 0, which mine was.
 
My uro explained that during surgery I would have been positioned in an unusual angle and that might have caused some nerve damage -- and surgery itself might have disrupted blood flow to some of the nerves.
 
Seems like your problem is on the mend too, and as the doc can't find anything wrong, I suggest give it more time. And exercise as much as you can -- keeping things moving should help -- provided your doctor is OK with that.
Age 63. Other than cancer, in good health; BMI 20
Pre-op: No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores
7 March 2008, RRP, non nerve sparing
Two nights in hospital; catheter and staples out after 7 days
Continent, no pads needed from the get-go
Post Op: Stage pT2 M- N-; clear margins and lymph nodes; Gleason 4+4=8; prostate weight: 37gm
6-week and 7-month PSAs: 0
Bimix injections working well 


RMW
New Member


Date Joined Nov 2008
Total Posts : 2
   Posted 11/27/2008 12:16 AM (GMT -6)   
Thank you guys. Sorry new at this will get my thread down so as to see my history.
Again Thanks
RMW

montee
Regular Member


Date Joined Mar 2007
Total Posts : 315
   Posted 11/27/2008 7:28 AM (GMT -6)   

I know this may sound simple and the Dr. probably already checked, but have they checked you for a hernia, when they operate they arch the op table quite a bit, which is why some have back pain afterward.  I know in my case I had bilateral hernia repair in the 90s and a mesh was inserted, when they cut for the RP, the mesh moved and I know have that same hernia on the left side.

Just something to think about if they have not checked.


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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