How Painful Is It?

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anxiety out the roof
Regular Member


Date Joined Aug 2010
Total Posts : 111
   Posted 10/4/2010 5:41 PM (GMT -6)   
I have had 2 hernia surgeries and one hemmoroid
 surgery. I was wonder if anyone can compare the pain in these surgeries to a RP.
 
Post subject edited to remove all capital letters.  All caps indicate shouting or danger, neither of which is normally applied to this forum...l wink

Post Edited By Moderator (James C.) : 10/5/2010 4:40:42 AM (GMT-6)


SubicSquid
Regular Member


Date Joined Oct 2009
Total Posts : 252
   Posted 10/4/2010 5:48 PM (GMT -6)   
I had open RP and hemmorhoid surgery.  I will take ten more open RP's before another hemmorhoid surgery.  The pain after the open surgery was minmul.  Squid.

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3892
   Posted 10/4/2010 7:05 PM (GMT -6)   
I had robotic a month ago, there was no pain at all...You feel a little uncomfortable for a few days but for me it was pretty much painless...

ChrisR
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Date Joined Apr 2008
Total Posts : 831
   Posted 10/4/2010 7:06 PM (GMT -6)   
It isn't, or it shouldn't be painful. Whatever pain you have can be blocked. If your dr. Is not controlling it get someone else.

MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 10/4/2010 7:18 PM (GMT -6)   
no pain at all post op, then I was very surprised when they sent me home with instructions that if I felt pain take 2 extra strength Tylenol, which I never needed to take. I figured in a few days I would feel something but nothing

I went home the next morning after my Robotic removal, it was quite uneventful actually

kbota
Regular Member


Date Joined Aug 2010
Total Posts : 487
   Posted 10/4/2010 7:21 PM (GMT -6)   
Although I have never had hemmorhoid surgery, I can testify as to the open RP. I would not call it totally painless, but, what pain I had was very tolerable. A few days of taking it easy with as much walking as you can tolerate comfortably, and you'll be on the road to recovery quickly. The doc will provide you with a narcotic pain reliever. If possible do not use it after you leave the hospital. The narcotic pain pills are constipating.

Speaking of which; One suggestion I have is to be prepared so as to prevent constipation. Avoid this if possible. You do not want to be "bearing down" with those muscles for a few weeks.

Stool softeners are cheap and effective. Do not buy the one that is both a stool softener AND a stimulant. It's to hard to find the sweet spot with it. I made this mistake and seemed to go from constipated to diahrea from one day to the next.

After I realized that the stool softener also had the stimulant, I replaced it with JUST a stool softener. Finding the correct dosage became much easier then. A two month supply is about $3 at Walmart.

Best of luck to ya

k
Age 57 at Diagnosis
May, 09 PSA 2.26
June, 10 PSA 3.07 Free PSA 18%
Met with Uro, DRE +
June, 10 Biopsy, 7 of 12 cores, up to 60%, 4+5=9
July 21, 2010 - RRP
Nodes negative
Vesicles negative
tumor contained in capsule, still 4+5=9
perineural invasion extensive
Aug 5, 10 catheter out
Sept 3, 10 PSA - 0.00 (great big whew)
As of 9/3/2010, I'm 99% continent - only occasional stress incontinence !

Post Edited (kbota) : 10/4/2010 6:28:32 PM (GMT-6)


Arch
Regular Member


Date Joined Jun 2010
Total Posts : 192
   Posted 10/4/2010 7:21 PM (GMT -6)   
I had open surgery, not much pain at all. I also skipped the pain meds when I got home after 4 days.
PSA 5.5 Jan 2010
Biopsy, both lobes involved
Gleason 3/4=7
Radical prostatectomy May 18, 2010
Catheter out June 3
Pathology: 15% involved, lymph nodes and vas deferens clear, margins clear
June 3-10 10-12 pads/day
2 months 8 pads/day
Aug 1, 2010 5-6 pads/day
Aug 20, 2010 3-5 pads per day
Aug 16, 3 month PSA: undetectable...woohoo!
ED 95% with viagara
Sept 22, 2 pads a day

Todd1963
Veteran Member


Date Joined Oct 2008
Total Posts : 3257
   Posted 10/4/2010 7:25 PM (GMT -6)   
I had a hang nail removed once. Talk about pain. I zipped myself up once. That hurt real bad. My dad says when I was little I dropped the toilet lid on the little guy. I'm sure that hurt.
dx:06/03/06
Age at dx: 42 age now 45
Treated for sciatic nerve pain 6 months prior to dx.
Heavy amount of blood in urine Unable to urinate 
Lung x-ray for pnumonia revealed multiple lesions in each lung
P.S.A. at time of dx. 3216.14
Began lupron and casodex
Cat scan showed large mass in the pelvic area affecting the bladder multiple nodules in both lungs and lymph node envolvement.
Bone scan revealed possible bone involvment in the pelvic area
Biopsy 12 of 12 cores positive gleason 3+4=7
P.S.A.s since lupron 2946, 1274, 532, 5.01 1.23, .09
Begining jan 08 psa .o9, .25, .44, .86, .73, 1.34, 1.49. Doubling time is a little over 3 months
Cat Scan 12/12/08 Prostate normal size and shape. No tumors detected. Left lung clear of all nodules right lung showing only benign scar tissue. Lymph nodes normal
Bone Scan 12/24/08. Clean!!! went off casodex January 4 2009
Current psa 2/13/09 .16
Latest P.S.A. 0.05 newest P.S.A. undetectable

kbota
Regular Member


Date Joined Aug 2010
Total Posts : 487
   Posted 10/4/2010 7:30 PM (GMT -6)   
zippers and toilet lids must cause PCa.

he he
Age 57 at Diagnosis
May, 09 PSA 2.26
June, 10 PSA 3.07 Free PSA 18%
Met with Uro, DRE +
June, 10 Biopsy, 7 of 12 cores, up to 60%, 4+5=9
July 21, 2010 - RRP
Nodes negative
Vesicles negative
tumor contained in capsule, still 4+5=9
perineural invasion extensive
Aug 5, 10 catheter out
Sept 3, 10 PSA - 0.00 (great big whew)
As of 9/3/2010, I'm 99% continent - only occasional stress incontinence !

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7270
   Posted 10/4/2010 7:32 PM (GMT -6)   
Look Anx:
 
I think some of the responses are understating the pain, but only by a little bit. I have had inguinal hernia surgery and that pain was definitely worse than my robotic surgery.
 
But there is still pain. Again, my biggest pain was going from sitting to standing. Also, coughing was very painful; fortunately I did not have to cough too much.
 
As I said previously, a cane was the most useful item I added, just to go from sitting to standing. Also, within a week it was 90% better and continued to improve. In terms of painkillers, I took a total of maybe 4 tylenols.
 
Mel

geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 10/4/2010 8:15 PM (GMT -6)   
about pain

It was pretty manageable for me but I used the pain meds for the first two days to be sure I got enough sleep.

For coughing (or sneezing) a nurse taught me to hug a pillow -- a great help.

If you do have pain, take your pain meds -- stress hurts your healing process.

Newporter
Regular Member


Date Joined Sep 2010
Total Posts : 225
   Posted 10/4/2010 8:52 PM (GMT -6)   
I had my robotic RP 8-23-10. There was no pain at all. I did not take any pain medication except when I had a low grade fever after I came home and the doctor told me to take some Tylenol for a couple of days to get rid of the fever. I did develop some infection at the tip where the Catheter came out, for walking too much and irritated the site. Reduce walking and clean water wash a few times a day took care of that.

goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 10/4/2010 8:58 PM (GMT -6)   
Pain really is a subjective thing.

We have guys on here who wanted general anesthesia for a biopsy.

Plus, each surgery is a little different, anatomys can be a little different, muscle tone is a little different. I have heard guys talk about gas pain in their shoulders, swollen and black and blue testicles, rectal pain, etc, etc.

Just be assured it is very bearable. Usually simple analgesics can take care of it, or a Tylenol #3.
Goodlife
 
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
15 month PSA <.01

goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 10/4/2010 8:58 PM (GMT -6)   
Pain really is a subjective thing.

We have guys on here who wanted general anesthesia for a biopsy.

Plus, each surgery is a little different, anatomys can be a little different, muscle tone is a little different. I have heard guys talk about gas pain in their shoulders, swollen and black and blue testicles, rectal pain, etc, etc.

Just be assured it is very bearable. Usually simple analgesics can take care of it, or a Tylenol #3.
Goodlife
 
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
15 month PSA <.01

fertree
Regular Member


Date Joined Jun 2010
Total Posts : 118
   Posted 10/4/2010 9:37 PM (GMT -6)   
How did you take the biopsy? Some people think it's horrible, others don't mind it. I was in the latter group. I had open RP, minor discomfort, and my nurse complained that I never pushed the morphine drip button. I'm a wimp. Way worse pain for me included a sigmoidoscopy, straining a rib muscle from a bad cough, and a cystoscopy with a local anesthetic.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/4/2010 10:00 PM (GMT -6)   
my newest surgery (ileal conduit) has been my most painful so far. was on morpine for 4 1/2 of my 5 1/2 days in hospital. since ive been home, averaging one loratab every 6 hours. hoping after my 35 staples are out tommorow, to cut back some or be able to use something non narcartic to sub with.

had 3 biopsies. 1 without pain med, fine, 2nd one with pain med - hurt like hell, 3rd one - no pain med fine

all subjective.

this 9 inch incison, plus the stoma placement, plus sewing together again my lower intestines, lots of places to hurt

david in sc
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 ?
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, on Catheter #21, will be having Ileal Conduit Surgery in Sept.

English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2218
   Posted 10/5/2010 1:47 AM (GMT -6)   
AotR

I would say RRP pain was definitely bearable. And not sure that I'd describe it as pain, more of an ache. Any pain was short and associated with coughing sneezing etc (as well as sudden movement when I forget to take my time to stand up or turn over in bed etc.) Holding a cushion against my belly during coughing made it much less uncomfortable. Walking (regularly and slowly) helped make thing much better.

Medication dealt with just about everything. In hospital they look after you. In my case checking if I needed pain relief at regular intervals. I was able to stand up in my bathroom and wash and dress about 20 hours after surgery.
Once at home paracetamol/Tylenol was enough.

I am one of those who had pain at biopsy, but that was like being at the dentist: the pain was very intense and it lasted about five seconds for each needle jab. I was in no pain from the biopsy once it was over (The problem was that I felt a bit nauseous for the rest of the day I also took two tylenol/paracetamol to pre-empt any pain and they must have done their job) At no point was the post-RP pain level as high as the biopsy pain.

I am now 14/15 months post surgery and surprisingly I still have occasional sharp pain by the big scar by my navel, but it has become a keloid scar. There are also odd aches inside me (especially now that I have had SRT too), but given that others in my family have had aches for years after surgery I believe there may be a genetic aspect to how much pain abdominal surgery causes.

Alf

Retire1965
Regular Member


Date Joined Jul 2010
Total Posts : 38
   Posted 10/5/2010 4:15 AM (GMT -6)   
Anxiety,
 
I tend to agree with most of the other guys on the pain issue.  There was some pain, but it was very manageable.  I took narcotic medication for the day that I was in the hospital then tylenol when needed after release.
 
The catheter has been the real pain for me.  It is not painful but uncomfortable to the point that it gets more and more aggravating until you can get it out.
 
I am two weeks out from my RP now and have discomfort in the incision site only when I sneeze or cough hard.
 
Retire
45 Male, Prostatitus in Summer of 2009
PCA diagnosed in November 2009 due to elevated PSA level
12 core biopsy, 1 core positive 15% 3X3. T1c
PSA started around 10 at the end of last year escalated to 15 and is now around 5.0. RP done September 20th
Initial surgeon feedback is no extra prostatic extension. Waiting on full pathology report.

ejn
Regular Member


Date Joined Jun 2010
Total Posts : 87
   Posted 10/5/2010 11:40 AM (GMT -6)   
I am one of those guys who had gas pains in my shoulders.  It was far more painful than the surgery but a good heating pad made it bearable and the pain killers to sleep.  After 5 days the gas pains went away suddenly. 
 
Ed
Age 53
Pre OP PSA: 1/2008=5.9, 2/2010=6.0 (free=9%)
Biopsy, 4/10/2010 This was my 2nd Biopsy. The Uro put me out and took 36 samples. 3 samples positive 1%, 2%, 2% no evidence of perineural invasion. T1c

Dx April 2010
Gleason: 3+3=6
CT Scan: Neg
DaVinci: 8/11/10, Dr David Bryan, SSM DePaul-St Louis
Post Op Path:
Gleason 3+3=6
Tumor involves left lobe only
Tumor constitutes less than 5% of gland volume
No vascular or neural invasion detected
No capsular invasion detected
Distal urethral margin of resection free of tumor
Proximinal urethral margin of resection free of tumor
Radial margin of resection free of tumor
Seminal vesicles uninvolved by carcinoma
TM stage T2a (unilateral less than 1/2 of one side), NX, MX
ALL Margins uninvolved
Extra Prosatic extension: Absent
PSA: 9/10 <.1,

cantexplain
Regular Member


Date Joined Jun 2010
Total Posts : 74
   Posted 10/5/2010 12:37 PM (GMT -6)   
I'll confirm:  gas pains in upper chest/abdomen much worse than the surgery itself.  Not all, or even many, men have that following surgery but be aware it's a possibility.  A couple of days and the gas is absorbed and things get hunky-dory again.

Age at Dx: 56
DaVinci Prostatectomy: 10/28/98

Stage: T2C

Gleason - 3+4 = 7

Prosate: 52 grams

Incontinence - absolutely at first, better with time and kegels

ED - Indeed

Married, father of two (boys 19 and 17)

10 months later: member of the "zero" club, working on one "safety" pad for 24 hours. Took Cialis for 6 months (no apparent affect), Tri-mix works, though!

reachout
Veteran Member


Date Joined May 2009
Total Posts : 739
   Posted 10/5/2010 6:25 PM (GMT -6)   
I've had two hernia surgeries and a DaVinci. Hernias were 9 out of 10 on the pain scale. DaVinci was a 2 or 3. But there was a weird feeling from the catherer that I don't want to feel again. Not pain, more like getting goosed in the bladder.

Woodworker
Regular Member


Date Joined Apr 2010
Total Posts : 90
   Posted 10/6/2010 2:45 PM (GMT -6)   
I had the Da Vinci assisted prostatectomy. The worse part was the getting rid of the gas. That took 3 days if you count the day of surgery.  It wasn't painful, it was just extremely uncormfortable.  Surgical pain was almost non-existent.  I am not one of those macho types that grins and silently bears the pain. There just wasn't much pain to begin with.
 
 

English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2218
   Posted 10/7/2010 2:34 AM (GMT -6)   
Perhaps it's worth mentioning that there are usually two types of gas pain.

One is wind in your gut and relates to your fasting before surgery and change of diet etc and will go away when you are eating normally and have had a few good BMs and f*rts etc. Light exercise also helps get the gut working properly.

The other gas issue relates to the CO2 used to inflate your belly to make space for the robot's arms inside you. Some of this gas will get left inside your body cavity after they sew you up.
It takes your body about a week to deal with this CO2 gas. It will start to collect in various places inside you, and this is why you can experience pain in the area around your diaphragm and shoulders. Walking and moving is the best way to deal with the pain.
When I pressed my hand against my ribs I could actually feel and hear the little bubbles moving about just under my skin; when I went to have my catheter removed they were intrigued by this.

Alf

Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 10/7/2010 7:39 AM (GMT -6)   
Anxiety, my husband is a self-confessed baby when it comes to any pain. He was really worried about the "gas" pains following robotic surgery. Guess what, he had none...the morphine line was removed first thing in the morning following surgery because he never used it that night. He claims he had more discomfort during periodontal surgery than he did after his prostatectomy.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (solitary focus of extraprostatic extension). Perineural tumor infiltration present. Apex margin, bladder neck and SVs negative. Final Gleason 3+4. PSA: 0.0 til July 2009. August 2009 - 0.1, September 0.3, October back to 0.0, December 0.0, March 2010 0.0, September 2010 0.0.

anxiety out the roof
Regular Member


Date Joined Aug 2010
Total Posts : 111
   Posted 10/7/2010 9:34 AM (GMT -6)   
thanks for the replies. I don't plan on having the robotic surgery. So gas shouldn't be a problem- although my wife disagrees. LOL How is the open surgery pain and recovery???
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