pain developed between my scrotom and anus 5 weeks after surgery

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

New Member

Date Joined May 2009
Total Posts : 4
   Posted 6/6/2009 10:13 AM (GMT -6)   
I had Davinci surgery 6 weeks ago and I have developed a pain between my scrotem and rectum that is very uncomfortable.I dont know if its just a healing process or something else.This discomfort developed 5 weeks after surgery.Has any others experienced this and what could it be

Veteran Member

Date Joined Dec 2008
Total Posts : 673
   Posted 6/6/2009 10:59 AM (GMT -6)   


Hi 12,

I've had a couple instances of similar discomfort since surgery.  As was explained to me, during surgery some (connective) tissue between the prostate and rectum is scraped away/removed (from the rectum). This can cause a good deal of discomfort and take a few months to heal. My surgeon told me to call him if it continues. Otherwise my recovery from surgery has been going good.

I think part of it is my particular physiology, too. I've got a small butt and when I sit, I put a fair bit of pressure directly on that area...even when using a donut pillow. Also, I've increased my fiber intake which helps keep stool soft and keeps the bowels moving (reduces BM pressure).

Hope this helps. I'd recommend letting your surgeon know, anyhow.



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 (Nov 07-Jun 08) for diagnosed prostatitis.
PSA start of 2008: 5.3..... PSA June of 2008: 7.3
14 DRE all benign or nothing felt
TRUS Biopsy Nov 08: Got copy of pathology (see below). Prostate about 40 cm sq.
General Health: pretty good, 5' 10", 180 lbs, slim.
Bone scan Dec 08: Negative
Barium enema X-ray (March 09 due to several days of blood in stool)
MRI with endorectal coil (April 09 as part of a study)
3D advanced TRUS (April 09 as part of a study)
CT (April 09 as part of a study)
Biopsy Pathology: 5 of 8 cores positive, adenocarinoma in both lobes. 30%-65%. One core perineural invasion. 2 cores "foamy" and suspicious. All +ve cores, 3+3 GS 6.
Open RP surgery: May 5/09 Surgeon spoke to my wife and was very positive. Said both nerve bundles spared and not damaged. Bilateral lymph node dissection performed. Discharged 48 hours after surgery. Staples out, catheter out and pathology sheduled for May 21.
Physical State: Home office in basement. Up and down 10-20 times a day. Walking lots of circles around inside of house and back patio. Bit sore but coping very well so far.
Mental State: Pre-surgery anxiety gone. Now waiting for path report, cath removal and staples out. 

Ken S
Regular Member

Date Joined Nov 2006
Total Posts : 120
   Posted 6/6/2009 11:25 AM (GMT -6)   

I had exactly the same thing happen to me but it was just 2 or 3 weeks later. It was at it's worst when I just stood still or sat on a hard surface. Walking, even a few miles, no problem. Sitting on soft chair was a must. It lasted for a good 6 months and even after that sitting on a hard chair it would flare up again.

This subject has come up in the past and as I recall quite a few guys were experiancing the same thing, so it is quite common and it will abate after a while.

Age 54 (2006)
PSA: 2005 - 3.2, 2006 - 3.7
Biopsy 8/06, Gleason 6 (3+3), T1c
Radical Retropubic Prostatectomy 11/3/06 - Memorial Hospital, Pawtucket, RI
Post-Op Biopsy, Gleason 6 (3+3), T2c, right apical margin positive
CT Scan 1/07, tumor discovered on right kidney (unrelated to PCa)
Partial Nephrectomy 3/9/07 - R.I. Hospital, Providence, RI
IMRT (37 Treatments) 4/23/07 - 6/14/07
PSA: 3/09 - 0.03

Veteran Member

Date Joined May 2009
Total Posts : 2691
   Posted 6/6/2009 3:38 PM (GMT -6)   
Excessive kegaling can cause some pain in that general area as well.
Age 58
PSA 4.47
Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09
Nerves spared
0/23 lymph nodes involved
pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks due to anatomical issues with location of ureters with respect to bladder neck.
Try 3 tubes where no tubes are supposed to be for 2 weeks !
Neg Margins, bladder neck negative
Thankful for early diagnosis, and U.S. healthcare
Living the Good Life, cancer free
6 week PSA undetectable. 

DS Can
Regular Member

Date Joined May 2009
Total Posts : 195
   Posted 6/6/2009 4:42 PM (GMT -6)   

Welcome 128735,

I have this ongoing pain also, starting at about three weeks - right when I went back to work.  It is getting better for me as time goes on.

I mentioned it to my Doc at my checkup 7 weeks after surgery.  He said it is not uncommon.  It is more specific to the Davinci procedure, but doesn't know why.

Also, would you mind posting a signature so that we can follow your journey?

I hope everything else for your recovery is going good for you.


PSA 01/07 was 1.2, PSA 01/08 was 1.9, PSA 01/09 was 2.5.
BIOPSY 02/24/09, adenocarcinoma DX at age 52
 Right:GS 3+3=6, tumor 3/6 cores, 10% involvement,PNI-Yes
 Left: GS 3+3=6, tumor 1/7 cores, <5% involvement,PNI-No
LARP 04/09/09,nerve sparing. Final pathology:
 GS 3+4=7, Margins uninvolved, 2 lymph nodes negative.
Catheter removed on 04/17. First no-pad day was 05/03.
ED treatment is 25 mg Viagra nightly.
First followup PSA results on 05/28/09: <0.1,undetectable!

New Member

Date Joined Mar 2009
Total Posts : 11
   Posted 6/6/2009 11:17 PM (GMT -6)   
I've had that exact pain for 5 months now and can't shake it off.
Talked to the specialist 3 times about and get told give it time.
I just don't know what causes the pain, but I hate it. Can't sit straight on a hard chair, can't ride my motorbike.

My urine stream had slowed down as well over the past month as well. Phone call to the specialist and told to see how it all goes over the next month or so. Oh happy days. shakehead

I have had a gut feeling for quite a while there may be more to this than I know or are being told.
Quite frankly as I feel right at this moment after having lost my great lifestyle including a proper sex life with my wife I'm sorry I had the thing chopped out.

New Member

Date Joined May 2009
Total Posts : 4
   Posted 6/6/2009 11:32 PM (GMT -6)   
Thanks for the replies and Ozvic sounds close to my problem .Its in the pereneum area and I cant really walk or move without this constant pain taking place.The doctor said it might be an infection so he started me on cypro.Ill give it some time then I got to do something im really getting depressed about this.

Regular Member

Date Joined Apr 2008
Total Posts : 158
   Posted 6/7/2009 11:11 AM (GMT -6)   
Diagnosed November 2007   (43 years old )
PSA 3.9 / Gleason 6 / TC1 6 cores 1 shows 25%
Sugery scheduled 5/29/08 - City of Hope - Dr. Mark Kawachi
 "First show of the day"
 and now for the new ive been waiting for
 FINAL PATH REPORT:gleason upgraded to 3+4 T2c bilateral disease,tumor involvment 5%
extra prostatic extention:absent
seminal vesical invasion :absent
pathological staging:pTNM pT2 ORGAN CONFINED
margins free of carcinoma
usable erections ;6-6-08 with little blue pill
continence; 1 pad a day, dry at night
continence a non issue at 10weeks
 1 year p.s.a. undetectable

New Member

Date Joined May 2009
Total Posts : 4
   Posted 6/7/2009 2:34 PM (GMT -6)   
Thanks Dirt you at least give me hope that im not going to have this for a long time.I thought it was just me and i did something wrong.It sure is good to come on here and get other survivers take on whatever needs to be questioned .you make me feel good now .I was getting pretty down in the dumps

New Topic Post Reply Printable Version
Forum Information
Currently it is Thursday, August 16, 2018 7:35 AM (GMT -6)
There are a total of 2,993,213 posts in 328,025 threads.
View Active Threads

Who's Online
This forum has 161222 registered members. Please welcome our newest member, laozishidi.
295 Guest(s), 5 Registered Member(s) are currently online.  Details
sebreg, sierraDon, SharonZ, Going for brachy, UCmee