What causes bladder pain after prostatectomy

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

New Member

Date Joined Mar 2010
Total Posts : 2
   Posted 3/16/2010 2:07 PM (GMT -6)   
Hello all,

I had a radical prostatectomy in Nov. 08. I'm doing fine. One problem I have I need input from someone. With a full bladder I develop lots of pain until I relieve myself. The act of urination does not hurt, in fact the stream flow is quite good. However, the pain when the bladder is full causes a kind of intense stinging pain in the bladder area. When this happens it is very painful just to walk to bathroom. I still have minor stress incontinence. Any suggestions? Doctor says he has not heard this complaint before. Thanks!

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4849
   Posted 3/16/2010 2:18 PM (GMT -6)   

Welcome to the site.

See a different doctor. Just because one doc hasn't heard of it doesn't mean others havent..

Age 55   - 5'11"   215lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
11/20/09 - 18 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.

Veteran Member

Date Joined May 2009
Total Posts : 2692
   Posted 3/16/2010 3:18 PM (GMT -6)   
We've had guys with clips coming loose. There has been some reconstruction in there, could be a suture that hasn't disolved yet.

If it continues very long, see the doc, make him take xrays, or some other image.

Good luck.
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

Veteran Member

Date Joined Nov 2009
Total Posts : 7270
   Posted 3/16/2010 4:58 PM (GMT -6)   

I kind of have that a bit, especially upon wakening in the morning. I guess for me it hasn't been too much of a problem. Some pain, relieve myself, then no pain. Quicker than taking an aspirin.


But you describe the sensation fairly well. Is it worst in the morning? Does it go on like that all day?



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 was about 75 (way above the 35 threshold). That led to:

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.  (Second opinion from Jon Epstein at Hopkins confirmed these results)

 Incontinence: joined that club-- definite leaks—1 pad/day. Night is dry, was  using 1 pad at night for security, but pretty much dispensed with that most nights. Update: no pads at night. No pads while at home, but still very uncomfortable. Use 1 pad for out-of-house activities. Suddenly got MUCH better on 3/10/10, almost overnight. Still some urgency but no pads about 90% of the time.  As of 3/12/10--completely continent!

First post-op PSA on 3/10/10--DRUM ROLL: 0.01 Next PSA in late May.

Regular Member

Date Joined Dec 2009
Total Posts : 214
   Posted 3/16/2010 5:33 PM (GMT -6)   

Surprised the doctor didn't offer any other comment than he hadn't heard this complaint before.

I complained to my doctor about arthritic pain which runs in my family in my early forties.  His comment was to stop acting like an old woman.  I got a new doctor right after that.

Not to suggest you need a new doctor but certainly another opinion!!


Age:  63 
Biopsy: May 09 showed 2 of 12 cores positive for prostate cancer -- 1 at 5% and 1 at 25%.  Cancer indicated as non aggressive.  Gleason Score: 3+3.
RRP on Oct 23/09 in London, Ontario.  Excellent surgeon. 
7 Weeks Post Op -  The fears I had about bad things about the operation and recovery did not materialise except of course ED!!.  Otherwise, everything went very smoothly.  Incontinence not a problem.  Wear a pad when out just in case. Pain was never a problem.
Pathology:  Unremarkable 
First followup PSA and Visit: Feb 11/10 - 0.0.
Next PSA May
Next doctor's visit in 6 months      

Veteran Member

Date Joined Jun 2007
Total Posts : 789
   Posted 3/16/2010 7:28 PM (GMT -6)   
I am surprised that your doc did not test to see if you have a urinary infection, I had the same symptoms and my doc found that I had an infection, some antibiotics and ok. maybe that?

regards Mal.
age 67 PSA 5.8 DRE slightly firm Rt
Biopsy 2nd July 07 5 out of 12 positive
Gleason 3+4=7 right side tumour adenocarcinoma stage T2a
RP on 30th July,

Post op Pathology, tumour stage T3a 4+3=7, microcsopic evidence of capsular penetration, seminal vessels, bladder neck,are free of tumour, lymph nodes clear, no evidence of metastatic malignancy, tumour does not extend to the apical margins.

Post op PSA 0.5 26th Sept. Totally dry since catheter removed
PSA 23rd Oct.0.5 seeing Radiation Onocologist 31st Oct.
Started radiation treatment on 5th Dec, to continue until 24 Jan. 08.
Finished treatment, next PSA on 30th April.
PSA 30th April 0.4
PSA 30th July 0.5
PSA 27th Oct 0.4 (I am now 68)
PSA 11th March 09 0.5
PSA 3rd August 09 0.6
PSA 25th November 09 0.6 (I am now 69)
PSA 18th Jan 10 0.6

New Member

Date Joined Mar 2010
Total Posts : 2
   Posted 3/17/2010 9:17 AM (GMT -6)   
Thank you all. I wonder if it could be bladder spasms. I'm just not too familiar with this problem since it never occurred in the past. When I was in the hospital after my surgery I had severe pain the night of the day of surgery. It may have been similar to what I am experiencing now (can't remember exactly). The catheter had stopped up and I bet the pain could have been severe bladder spasms. Of course at that time the trauma to the whole area was recent and probably made the pain worse. Was given morphine to ease the pain. I'll try some of your suggestions, but bladder spasms may indeed be the cause. I found other websites that defined this problem and the symptoms are much like mine. Bladder spasms are painful!!!

Have a great day everyone.

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 3/17/2010 9:27 AM (GMT -6)   
Being on my 14th catheter in the past 15 months, I have had literally hundreds of bladder spasms during that time. I have never had a single one the short times I was not with catheter. It's possible it could be a spasm, but not like the catheter related ones, in those, the bladder thinks it is doing you a favor by trying to expell a foreign object, the catheter, and unless you are luck enough to leak some of the pressure by leaking around the exit of the catheter, they will be extremely painful.

I would ask that dr one more time, or simply go to another doctor, not playing dr. here, have no education or credentials for that, but sounds more like a UTI or some other kind of infection.

Good luck again
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, no problem post SRT
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  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, Caths #13 & #14 same time, 3/6 Cath #13 out - 4 days

New Topic Post Reply Printable Version
Forum Information
Currently it is Monday, September 24, 2018 12:59 AM (GMT -6)
There are a total of 3,005,988 posts in 329,290 threads.
View Active Threads

Who's Online
This forum has 161816 registered members. Please welcome our newest member, nagawarrior.
230 Guest(s), 1 Registered Member(s) are currently online.  Details