The prostate has to be cut and scraped off the wall of the rectum. Some men's are attached even worse than others. This can cause a weakness in the wall, which can cause the rectum to "bulge" out, or in. Some fistulas actually protrude into the bladder which is in the same approximate area.
We had a guy not too long ago who was farting out his penis because of a fistula. Think we got problems ?
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
1 year psa (364 days) .01