Yesterday and today I had 2 bouts of really bad pain in that place between the srcotum and rectum; the kind that brings me to my knees and pretty much limits my day. I was diagnosed with PC recently. Everytime I've had the pain, it comes on very quickly...takes about 4 xtra strength tylenol and sitting on a donut pillow or toilet seat until tylenol kicks in. Usually subsides after an hour...and woozy for a few more. Happened once while driving and almost called 911 when out of town.
It was this pain several other times that brought the earlier diagnosis of prostatitis...and led to PSA tests, DRE, Bioposy, diagnosis of PC and bone scan (no results yet). Had chills, bad back, sore testicles, really frequent urination and leg pain with it...yet no fever and todays urinalysis shows nothing in way of infection. Since all this started last Nov., there's always been this as a background discomfort accompanied with general pressure in rectum...until the flareups. And by the way, it feels like there is a pimple, for lack of better word, at biopsy site inside my rectum. Everytime I engage a sphincter muscle or the one that starts and stops urination, I feel a sting very similar to when the first biopsy needle went in...no local used. Also, feel it when I just move around.
Is this just a symptom of enlarged prostate(44 CC I believe) pressing down on perinieum, or is this something I can expect post-op or permanently?
See Uro on Wednesday for bone scan results...both Uro and GP have been told all the above.
Any comments appreciated.
Lower left groin hernia; mesh and large scar: surgery early 2006
Nov/Dec 07 and March 08 and now Dec 08: Severe perineal pain (between scrotum and rectum). Septra/Bactrim for 8 months for diagnosed prostatitis previously.
PSA start of 08: 5.3
PSA June of 08: 7.3
6 DRE all benign or nothing felt
TRUS Biopsy Nov 08: Got copy of pathology recently (see below).
General Health: pretty good, 5' 10", 180 lbs, slim.
Bone scan Dec 08: waiting for results
Biopsy Pathology: 5 of 8 cores positive, adenocarinoma in both lobes
1) 30%, GS 3+3, perineural invasion identified
2) 40%, GS 3+3
3) 60%, GS 3+3
4) 65%, GS 3+3
5) 30%, GS 3+3
Open RP recommeded. Looking at nerve sparing da Vinci in London, Ontario.
Wonderful wife...and 1st grandchild on the way.