Pain in the butt.

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New Member

Date Joined Mar 2009
Total Posts : 11
   Posted 3/8/2009 6:31 PM (GMT -6)   
As my heading says I have pain in my backside that seems to be getting no better after radical surgery 8 weeks ago. It radiates forward. Very hard to sit down comfortably......Impossible on a hard chair.
Saw my specialist 2 weeks ago and was told it would all take time to heal etc.
Due back in 4 weeks for blood test to see where my PSA is.
Was warned one week after surgery the cancer may still be in the margins.

My question is......Has anybody else had pain in the backside and forward, and how long did it last?

FWIW my PSA was 6 and my Gleason score was 7. I'm late 60s.

Thanks in advance for your help.

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 3/8/2009 6:58 PM (GMT -6)   
ozvic, Welcome to the Forum. Sorry you have to be here, but glad you are on the other side now. I had reoccurring butt and straddle pain for several months after. There's a lot of cutting and removal of things closely attached to the area and it is normal to have pain, aching and discomfort afterwards. Now, if the pain level is high, you should call or see your doctor, of course. It may be that this is one more thing that takes time to heal. Lots of us used seat rings or doughnut rings afterwards. Maybe a foam one would fill the bill for you. Don't bother spending money on the inflatable ones. Most supply pharmacies have them. Hope this helps, and hope you get to feeling better..
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
16 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix .35ml 2X week continues
PSA's: .04 each 3 months

Regular Member

Date Joined Dec 2008
Total Posts : 194
   Posted 3/8/2009 7:08 PM (GMT -6)   

7 weeks out from robotic RP here and as I sit in this padded office chair typing this out, I am sitting on an extra pillow between my rear and the padded chair. And yes my pain is from the anus all the way forward to under my testicles. But the pain is better than it was a week after surgury and it is better than it was last week and I believe it will be better next week. I relayed this to my surgeon on 2-17-09 and he stated this pain is normal and progressing normally. Also I still have the pain when I have gas or need to deficate and it is relieved by passing the gas or emptying the bowels. Brother, I'm hoping yours begins to improve too and I believe it will. Hang in there.
Age at DX 57
5-18-07 PSA 7.7
5-06-08 PSA 4.6  8% free psa, but stable
10-23-08 PSA 5.65 4% free psa
11-04-08 biopsy
11-11-08 2 of 12 cores positive
Gleason 3+3  6  stage t1c / post-op 3+4  7  stage t2c
CT and Bone scan negative
Da Vinci RRP 01-09-09
Catheter removed 1-15-09
Pathology Report says it's gone!
First Post-op PSA 2-17-09   0.00

New Member

Date Joined Mar 2009
Total Posts : 11
   Posted 3/8/2009 7:21 PM (GMT -6)   
Thanks for the welcome and the quick reply's men. Just time I guess should fix it.
The most frustrating thing is that I find it just about impossible to ride a motorcycle. Just too painful at the moment.
I did feel my surgeon seemed very 'off hand' about my question, but as my wife said.......They've seen it all before......Go take a Panadol.

I do have a doughnut blow up ring to sit on, as I am now......It sort of helps.

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 3/8/2009 11:28 PM (GMT -6)   
Take your tiem ozvic. You are slow healing, but I have heard it before. My week twelve you should be feeling better, if not your doctor should know about it. Have you tried light exercize? Walking may help. I would not do anything stressful until you are a bit more comfortable, but maybe light stuff. The suggestion of foan might help, but also a folded quilt might as well...just some suggestions.

Age 46 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (January 13, 2009): <0.1
My Journal is at Tony's Blog  

Veteran Member

Date Joined Feb 2008
Total Posts : 655
   Posted 3/9/2009 6:44 AM (GMT -6)   
Greetings, Ozvic.  I seem to remember that I was told no bicycle for several months - don't know if that applies to motorcycles, but would think it might be similar.  I too had the pain in the butt but it did get better over time - one year plus out now and it is no more.  Can't exactly remember when it went completely away but it was several months.  Best wishes.  David

Age 55
Diagnosed Dec 2007 during annual routine physical
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 positive with 2 marginal
Gleason 3 + 3 = 6
RRP 4 Feb 08
Both nerves spared
Good pathology - no margins - all encapsulated - Gleason 4 + 3 = 7
Catheter out Feb 13 - wore pad for couple of days - pad free Feb 16
Great wife and family who take very good care of me

New Member

Date Joined Mar 2009
Total Posts : 11
   Posted 3/9/2009 11:00 PM (GMT -6)   
Guess I will just hang in there and wait.
Hope the pain goes sooner than later though as I can't wait to get back on the road and trail bikes as well as the jet skis. Yeah I'm a very young grandpa.
2 months ago I was so fit and a ball of muscle and now I feel like I've been bought to my knees with such a slow healing process.

I also notice by the posts here ED is to be expected for many months as I am at the moment. I had perfect function before with my wife etc and we do miss having proper intercourse, but at least at the moment the hands are doing the trick.
My orgasm is not the same feeling though, I guess because of lack of ejaculation?

I have been walking the last 2 or 3 weeks for about 30 minutes at a time to try and get a little fitness back.

Regular Member

Date Joined Sep 2008
Total Posts : 72
   Posted 3/10/2009 11:51 PM (GMT -6)   
I had that same pain for maybe two months or so after surgery. Probably three months when I had gas or needed a bowel movement. But it is long gone now.
Pillows or folded blankets worked well for me. I made one out of a piece of foam that came in a box as packing. Worked well.
People are all different. I would rate my orgasms better than before. Give things time. Hurring and worrying do not help!
Keep on Keeping On!!!

Don't get discouraged!!
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
Five month PSA less than 0.1  Lab did wrong type of PSA test so this test was not as accurate.

Regular Member

Date Joined Dec 2008
Total Posts : 22
   Posted 3/11/2009 6:16 PM (GMT -6)   
 I have had the same pain after the open rp it wil go away , I  had mine in November 18th 2008 and doing better now , Best of luck to you and your healing .
 I am 42 years  young
Psa 11.6
gleasen 4+3=7
Catscan-Neg but for a cyst on liver
Bone scane - Neg
11 out of 17 bio tests came back pos full rt side agressive cancer lft side  core  had 2 bios  pos
had the open RP on Tuesday November 18th of 2008 at 7:45  am , finished at 1:30 and took the 3 pts of blood I gave .
 At Kaiser Sunnyside  in Oregon
Performed by Dr Matthew Forsyth
 Came home on 11-21 , cath and staples out on 12-01
now the real work begins

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