Pain in the butt

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New Member

Date Joined Sep 2008
Total Posts : 13
   Posted 2/24/2009 7:02 PM (GMT -6)   
I am almost 6 months post op, open RP.  Last night while sleeping, I had a pain in my perrineum area.  It sort of felt like the biopsy probe, except maybe it was a Louisville Slugger.  Is this normal?  Every time I get a twinge or ping, I figure it is a healing process, but this one really had me in pain for about an hour.
Age:  55
Pre-op PSA:  6.7
Gleason:  3+3 = 6
Surgery Sept. 9, 2008, Mercy Hospital Pittsburgh Pa
Post Surgery PSA results "Not Detectable"
My Journey can be found at:

Regular Member

Date Joined Feb 2009
Total Posts : 43
   Posted 2/24/2009 8:09 PM (GMT -6)   
Meister - My compliments on your blog. I enjoyed reading your experiences in a narrative style.

Regarding the pain you experienced, I believe that it is normal. Your nerves have been traumatized at best and they are healing. We have always read where amputees will experience pain in the lost limb for a long time. A similar process is working here. I have experienced some rectum pain that felt like I was growing a hemroid.

BTW Our Stats are remarkably similar.
Age - 55
2004 PSA 2.7
2008 PSA 5.8
Sept 2008 PSA 5.66
Oct 2008 PSA 6.67
Biopsy on 11/25/2008 cancer found in 10% of one core , gleason 3+3=6
open RRP done on 1/14/2008. Pathology showed 20% of prostate cancerous, gleason 3+3=6, contained in capsule
First post op PSA 2/10/09 - 0.07
As of 2/11/09 down to one or two pads per day

Post Edited (klondiker) : 2/24/2009 6:31:18 PM (GMT-7)

Regular Member

Date Joined Jun 2008
Total Posts : 407
   Posted 2/26/2009 11:18 AM (GMT -6)   
If this were me I'd be placing a call to my M.D.

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 (getting better, though)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0; 12/08: 0.0


Regular Member

Date Joined Oct 2005
Total Posts : 489
   Posted 2/26/2009 12:48 PM (GMT -6)   
Hey Meister,

Yeah that is a really nice Blog there for sure.

One thing that caught my attention tho (yeah ancient history for you now) was the nurse/hospital's obsession with you getting a BM practically the same day after surgery.

I guess it is good to mention to all who have yet to go thru this that a quick BM is in NO WAY a necessity any time soon after surgery. And I am sure all your muscles and sutures would appreciate NOT having such any time soon after surgery anyhow.

In my case all the Doc and nurse asked was whether i was yet passing gas (on day 1 after surgery). No I was not .. so that was all they cared about that day.

Turns out that i did start passing some gas, and continued to do so for a few days and then on DAY 4 I finally got my first BM. Of course taking Colace all along those days. It just really does take a while for food to travel all the way thru after the initial cleanout.

Hope this is of help (and reassurance) for any of our brethren coming down the pike that this is NOT something to worry about -- The BM will come when it will come -- you are NOT clogging up or anything (assuming you are taking your softener religiously and eating lots of veggies).

keep on Movin on ..

Age 58, 192lbs, 6'4", 57 at DX, PSA Aug2008 7 4 ... June2007 4.7 (BPH + LUTS)
Biopsy Nov2008 1 of 12 cores 5%, Gleason 3+3 - Sona showed 140+ ml (110 grams) prostate size.
Prostate way too big for any Rad or Seed treatment or even trying to shrink.
open RP surgery 02/03/9, Nerve sparing both sides, 1 day in hospital,
Post-surgery Pathlogy Report - All margins clear - No Invasive spread - no change in Gleason score.
Cath out on 2/18/9, passed a STONE within hours. To be analyzed by doc.

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