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Veteran Member

Date Joined Nov 2009
Total Posts : 7187
   Posted 2/11/2010 9:36 PM (GMT -6)   
Do any of you have that? I am only 2 weeks post op., but it is annoying. It hurts when I urinate and also with bms.
I assume this is pretty normal but I figured I'd check with you folks

63 years old . PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (Free PSA 24%),  after 45 days on cipro! DREs have always been normal. PCA-3

Biopsy on 11/30/09. 5 out of 12 cores positive. Gleason 4+3. 2 cores were 3+3 (one 5% and the other 30%) on one side. On  other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C.  

Surgery with Dr. Menon at Ford Hospital, 1/26/10. He says all looked good. Spared nerves. Unfortunately: Pathology Report: G 4+3 (65%-35%). Cancer in 15% of gland. Lymph Nodes: Clear.  Perineural Invasion: yes. Seminal Vessical Involvement: No.  Extraprostatic Extension: yes.  Positive Margin: Yes-- focal-- 1 spot .5mm. Final Weight is 52.7 gms. 

 Incontinence: joined that club-- definite leaks—1 pad/day. Night is dry but using 1 pad at night for security.

Next Event: First post-op PSA on 3/1/10

Cajun Jeff
Veteran Member

Date Joined Mar 2009
Total Posts : 4069
   Posted 2/11/2010 9:41 PM (GMT -6)   



Sounds normal. If you are too uncomfortable call the Dr.s office and speak to the nurse.

Jeff T
Cajun Country

Jeff T Age 57

9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable

10th month PSA <0.01
1year psa <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next. Next step injections.
15 months out injections Caveject (success)

Veteran Member

Date Joined May 2009
Total Posts : 2691
   Posted 2/11/2010 9:44 PM (GMT -6)   
Have u ever had hemmorhoids ? Sometimes the stress of post op bm's etc. van aggravate them.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01

Regular Member

Date Joined Jan 2010
Total Posts : 23
   Posted 2/11/2010 10:11 PM (GMT -6)   
I had rectal pain 4 weeks into imrt treatment feb/09.  The oncologist first thought it was hemrhoids only to findout from my primary doctor i had proctitus.  I still has spasms, pain and bowel problems but not as intensed but still being treated for symptoms.  Hope this is not the case for u.  

pc diagnosed 10/08, age 58, psa 7.5, G 8, biopsy positive in 3/12 areas; imrt Jan-Mar 08,treatment at 6500 rad, lupron Ht- Dec/08 ongoing for over a year;current psa trends .20; T1c; chronic radiation damage to intestines

Veteran Member

Date Joined Sep 2009
Total Posts : 3172
   Posted 2/12/2010 8:33 AM (GMT -6)   
Mel, I also did experience a similar discomfort for a couple of weeks post-op. I wouldn't have described mine as a "pain", but a little more like an "ache." Did feel it more sharply during a pee or poop, but kind of a low-level ache ongoing for a couple weeks. I do recall asking my doctor about it, and him saying it was typical and goes away in a few weeks (which mine did). I never did seek an understanding of what it was caused by, so I can only share the similarity of my experience.

hope that helps a little...

Elite Member

Date Joined Oct 2008
Total Posts : 25355
   Posted 2/12/2010 8:46 AM (GMT -6)   
Unfortunately, all too common and normal, for both robotic and open surgery. I experienced the rectal pains for nearly a year after my open surgery. My doctor said it was normal.
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
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days

Forum Moderator

Date Joined Jan 2010
Total Posts : 6848
   Posted 2/12/2010 8:52 AM (GMT -6)   
Same for me - but as always, ask the Dr. if there is question or any sign of blood in stools.
Keep up the stool softeners, as any stress/strain is very negative.
Also, remember that they took a lot of tissue out that was against one side of the rectum, so things are different in there now.
Hang in there.

Post Edited (142) : 2/13/2010 10:47:55 AM (GMT-7)

Regular Member

Date Joined Dec 2009
Total Posts : 97
   Posted 2/13/2010 11:16 AM (GMT -6)   
Hi mel,Make sure you take a stool softener it makes it a little less painfull.

Take care brother Zach
age 55dx 12-2008,psa at biopsy 8.6
biopsy 12/12 gleason 3+4=7
da vinci surgery 6-09 nerve sparing by DR. John W. Scott (my hero)
Hospital 3 days cath 7days still leaking from cough(bad lungs)
still have ed may be the hormones.
9-09 psa 2.2 hormone inj
10-09 nuclear bone scan no results yet I will have gold markers placed 12-29-09
start rad 1-10-10
organ confined
extracapsular seminal vesicle involvement
lymph node involvement

Regular Member

Date Joined Aug 2009
Total Posts : 284
   Posted 2/13/2010 11:57 AM (GMT -6)   
As others mentioned, I had the same pain for many months. Besides the surgery cutting near the bowel, irregularity caused by the anesthesia and pain killers were a big cause for me. I got back into my natural rhythm using generic Metamucil each morning and slowly the residual pain in the drain went away.

Take care,
Diagnosed 8/2008 Pre-op psa 4.2, Age 60 at dx
7 of 12 biopsies positive 3+3
DaVinci LRP 11/08
Post Op pathology clear margins, confined to prostate, absent extraprostatic extension, vascular or perineural. Gleason 3+4=7, 5-10% of 4 and location in right mid-gland.
3 month psa .1 2/09, 6 month .1 5/09, 9 month .2 8/09
broke ankle bones 6/09
9/21/09 Bone scan clear, psa still .2
11/12/09 chest xray was clear, psa however up to .3,
01/05/10 psa still .3, radiation setup done with tats, 01/19/10 started 39 sessions 70.2gy

Regular Member

Date Joined Jan 2010
Total Posts : 55
   Posted 2/13/2010 3:16 PM (GMT -6)   
Hi Mel - I also still have this, although I now consider it an irritation, rather than a pain, so it does get better with time. What I find a little more bothersome is that I can go through periods of time where I feel like to have to pee all the time - and then hours later it is back to normal. Hoping that goes away too.
Diagnosed 9/4/09, age 59
PSA 3.5, up from 1.8 year before
First biopsy showed 3/10 positive cores, Gleason 3+3, less than 10% involvement in all three cores, diagnosed as T2a
Doc and I decided on Active Surveillance, pending a confirmatory biopsy
Second biopsy showed 5/10 positive cores, Gleason 3+3, left side (4 postitive cores) had 40% involvement
RRP on 12/15/09
Home on 12/16/09
Failed cystogram on 12/23/09, catheter out on 12/29/09
Path report was all good news, Gleason 3+3, no margin involvement, no perineural involvement, everything clean other than core of prostate, tumor on both sides, but more prevalent on left side, 5% involvement, 42 gram organ
Within two days down to one pad a day, now continent except if I sleep more than four hours
Back to work 1/4/10
First PSA 1/28/10 - nondetectable, next scheduled June 2, 2010
ED present, although blood does flow after Viagra. working with pump now - still trying!

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