Mother of All Side Stitches

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Regular Member

Date Joined Sep 2009
Total Posts : 311
   Posted 11/15/2009 7:39 PM (GMT -6)   
Ten days out from my DaVinci robotic surgery.  Everything post surgery has gone great, except I have the mother of all side stitches originating from the incision on the lower left side.  This looks to be the largest incision, and I had hoped the pain (sharp and burning and exacerbated by walking for more than 5 - 10 minutes) would lessen by now.  No pain at all from the other incisions.  I was wondering if any other member of the forum had experienced similar from the incision on the lower left side?  Thanks.

NewsPaper Lover


Age 66

PSA:  6.0  on 07/31/09 having risen from 4.2 on 12/02/08.  Free PSA 23.5%.Other PSA History: 4.3 on 05/01/08; 3.3 on 11/15/07; 3.1 on 05/20/07; 4.0 on 11/30/06; 3.40 on 09/01/05.


Biopsy:  09/04/09  13 snips;  two positive.  Right Mid  4+3 = 7 and 15% of the total volume.   Right Lateral Mid 4+3 = 7 and 20% of the total volume.


DaVinci robotic surgery:  11/05/09.  Post surgery pathology:  margins clean, no invasion of seminal vessels, no upgrade of the Gleason scores, no evidence of cancer outside the prostate capsule.  Currently one pad per day, no leakage at night.



Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 11/15/2009 8:09 PM (GMT -6)   
Hope that incision pain eases up for you soon, 10 days is still not very far out from your surgery. The walking part might be frustrating right now for you, but listen to your body, the pain is telling you something. Good luck.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place

Veteran Member

Date Joined Nov 2007
Total Posts : 598
   Posted 11/15/2009 8:17 PM (GMT -6)   
I had basically no pain from my davinci incisions. i would at least call your dr and ask. a lot of pain at the point of incision can mean a lot of things. First guess is scar tissue is forming between layers and pulling. They use physical therapy to break it up. Is it discolored at all?
46 at Diagnosis.
Father died of Pca 4/07 at 86.
10/07 PSA 5.06 (Biopsy 11/07 1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-Gleason (3+3)6
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - at one year, ED is fine with viagra.
One year PSA - undectable!

ED Website: - frank discussions of Erectile Dysfunction - check it out.

Veteran Member

Date Joined Apr 2009
Total Posts : 990
   Posted 11/15/2009 9:17 PM (GMT -6)   
Your pain seems to be at the outside edge of normal.

By all means, call your doc. The lower left is the incision which is used for drains and other sorts of plumbing. It tends to always be the most painful and the last to completely heal. At six months I still get twinges there and my doc checked to make sure that there was no hernia. Your doctor cannot care for you if you don't tell him what is going on -- call the office and let him make the decision.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads
6 mo. PSA 0.00 -- 1 light pad/day

Veteran Member

Date Joined Sep 2009
Total Posts : 664
   Posted 11/15/2009 9:41 PM (GMT -6)   

I had no lower left or upper right. All of my stab wounds were plotted along what looked exactly like someone snapped a chalk line from short rib to short rib at the top of the umbilicus. I had the surgery on 11/2/09 and I have no discomfort from the actual incisions at this time. I did have what was called a Jackson/Pratt drain in the most right lateral stab wound, and it was the most bothersome area not so much from pain but it had a tendency to drain for a day or two after I got home. My guess is that the advise to call the doc is best.

Good Luck

Age 51, PSA 08/31/2009= 6.8, DRE Neg.
Biopsy 9/24/09 =10 of 12 positive. Gleason 6. 75% of one core.
da Vinci at Wash U, Barnes on 11/02/09
Pathology Changed Gleason to 4 + 3 = 7. Gleason 7 present in all 4 quadrants
All(4)periprostatic Lymph Nodes Negative, All(10)pelvic Lymph Nodes negative
Seminal Vesicles tumor free. No prostate extension

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