Pain when seating after RP

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New Member

Date Joined Jan 2011
Total Posts : 5
   Posted 1/8/2011 11:21 PM (GMT -6)   
I would like to know when my pain will go away.I did the Da Vinci RP 12-14-10 and I think I am doing pretty good with the exception of pain when seating down.When should one expect the pain to go away-I will return to work on Jan 24-11.My continence is 1 pad /day.very little leakage .ED is a problem but I hope will get better.I am looking for any advice.

Thanks Marius

Age at DX 53
Aug.08 PSA 4.2
Aug.09 PSA 5.2 DRE Neg
JUL.10 PSA 8.2
Aug.10 Biopsy 1 of 12 cores positive 10% PNI
Gleason 3+3 6 stage t1c / post-op 3+4 7
Da Vinci RP 12-14-10 Stanford CA
Catheter removed 12-24-10
Pathology Report says it's gone!

Regular Member

Date Joined Dec 2010
Total Posts : 55
   Posted 1/8/2011 11:25 PM (GMT -6)   
Hi Marius -

I had similar discomfort / pain when I sat - especially on a chair with little / no cushion. After the removal of the catheter, it took about 3 weeks before I notice no discomfort with sitting / standing.

Best of luck to you - sounds like you are well on your way to recovery. =)


Age 45
Jul 2010 - PSA 10.1
Aug 2010 - Biopsy - 12 of 12 cores positive - Gleason 7 (3+4 on the right, 4+3 on the left)
Sept 2010 - CAT and Bone scans negative.
Nov 2010 - da vinci RP with negative margins. nerve bundles were not spared. negative lymph nodes. Pathology Stage pT3c.
Jan 2011 - PSA undetectable

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 1/8/2011 11:51 PM (GMT -6)   
Hello and welcome,

That will really vary. The pain will ease over time, with many men, its seems to be in the 2-4 month range, I had open surgery, and it lasted nearly a year, but as my doctor said, with each passing month, it got less and less bothersom. You aren't even a month out of a very major and complex surgery. Hopefully, it will get better for you soon, than later.

Good luck

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 Not taking it
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/23/10

Veteran Member

Date Joined Mar 2010
Total Posts : 1152
   Posted 1/9/2011 12:42 AM (GMT -6)   
Hi Marius,

It took my husband about 4 weeks and I think this was the last real pain to go.
The best thing we invested in was a donut pillow. $10 and it basically made the problem go away.

All the best,
Husband's age: 52. Sydney Australia.
Family history: Mat. grandfather died of PC at 72. Mat. uncle died of PC at 60. He has hereditary PC.
PSA: Aug07 - 2.5|Feb08 - 1.7|Oct09 - 3.67 (free PSA 27%)|Feb10 - 4.03 (free PSA 31%) |Jun10 - 2.69. DRE normal.
Biopsy 28Apr10: negative for a diagnosis of PC however 3 focal ASAPs “atypical, suspicious but not diagnostic” for PC. Review of biopsy by experienced pathologist, 1/12 core: 10% 3+3 (left transitional), 1/12 core: ASAP (left apex)
Nerve sparing RP, 20Aug10 with Dr Stricker. Post-op path: 3+4 (ISUP 2005). Neg (margins, seminal vesicles, extraprostatic extension). Multifocal, with main involvement in the fibro-muscular zone. T2C.
Post RP PSA,
Lab 1: Sep10 – 0.02|Nov10 – 0.03|Dec10 – 0.03
Lab 2: Nov 10 - 0.01|Dec10 – 0.01

Regular Member

Date Joined Aug 2009
Total Posts : 147
   Posted 1/9/2011 7:09 AM (GMT -6)   
Never had pain when sitting, but more just discomfort. Definately went over a period of several weeks.
All the best from England.

Veteran Member

Date Joined Dec 2010
Total Posts : 3880
   Posted 1/9/2011 7:11 AM (GMT -6)   
While I didn't have a RP, I did have two HDR sessions where the prostate and surrounding area are filled with 15 catheters, inserted through the perenium, and a radiation seed is inserted into eeach catheter and removed. The second was on December 13, just 4 weeks ago. My rad-onc said I would be tender when sitting for a month or so. The first few days were the toughest as I was swollen and since it has subsided considerably. With both surgery and brachytherapy there is a certain amount of bleeding and gravity brings the blood where it makes it uncomfortable to sit. The body eventually gets rid of it but it takes awhile. Always look for the soft chair!

Regular Member

Date Joined Jun 2010
Total Posts : 192
   Posted 1/9/2011 10:06 AM (GMT -6)   
Took about 2 months for my pain to go away, when it did it happened in one day, as if something inside healed overnight. I asked my urologist and he sais it was normal healing.

Veteran Member

Date Joined Nov 2009
Total Posts : 7269
   Posted 1/9/2011 11:45 AM (GMT -6)   


I had a different type of situation. I recovered uneventfully from the surgery. But I did get 1 or 2 urinary track infections (urine tests showed blood and white cells in the urine but culture tests were negative). That was miserable but it cleared up in about a week or two.

A few months after my surgery I got pretty bad tailbone pain. I was very fearful that it was a spread of PC. I was assured that with my relatively low PSA that was unlikely. I hope they are correct. I STILL have vestiges of that problem, but it is about 90% better (it took about 6 months before it got better but I did read that is not unusual for tailbone pain).


New Member

Date Joined Jan 2011
Total Posts : 5
   Posted 1/9/2011 12:20 PM (GMT -6)   
Thanks all for your kind replays.I actually got the donut pillow ,the neck pillow but they do not really help.My concern is that I have to go back to work in 2 weeks and my job is seating down in front of a computer.

Forum Moderator

Date Joined Jan 2010
Total Posts : 7078
   Posted 1/9/2011 7:09 PM (GMT -6)   

I had the perineal discomfort for months after DaVinci, and using the doughnut cushion helped me, once I got the positioning sorted out (I use the foam type - the inflatable was a waste of money for me). It doesn't make it go away, just improves the situation a little.

I also sit in front of a computer all day, so still tend to use an extra cushion. I found that my office chair was "form-fitting", which put support exactly where you don't want it.

As to the level of discomfort, the first few weeks it qualified in my mind as real pain, but over time became just discomfort.

Welcome to HW -

Post Edited (142) : 1/10/2011 5:23:49 PM (GMT-7)

New Member

Date Joined Jan 2011
Total Posts : 5
   Posted 1/10/2011 3:21 PM (GMT -6)   
Thanks 142,

I do have the inflatable cushion that does not work for me either.I will check with wall mart to see where I can get the foam one.

Regards Marius

Forum Moderator

Date Joined Jan 2010
Total Posts : 7078
   Posted 1/10/2011 7:28 PM (GMT -6)   

I got mine at a home health care durable items store (the type that carries crutches, beds, and the like). Cost more, but ...

For other stores, look for hemorrhoid supplies - usually they get sorted into that category.
DaVinci 10/2009
My IGRT journey (2010) -

Veteran Member

Date Joined Jul 2009
Total Posts : 1267
   Posted 1/10/2011 11:56 PM (GMT -6)   
Marius, I'm 18 months out from evisceration day and when I'm tired, or on a particularly hard chair, I'm aware my perineum aches. I'd not want to do much bicycle riding.

I've never asked the doctor about it, or worried much about it. It is what it is, and early on every couple of weeks I could look back and say it was better than two weeks ago. Now I can look back and say it's better than it was three months ago. The trend line continues in the right direction and I'm confident it will return to normal --- but, it may be a two/three year process. A small price to pay to get rid of the rotten prostate.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours.  Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7 
First post op PSA Sept 09  less than 0.02
PSA on Oct 23, 2009 less than 0.02
PSA on Jan 8, 2010  less than 0.02
PSA on April 9, 2010 less than 0.02 
PSA on July 9, 2010 (one year) less than 0.02

English Alf
Veteran Member

Date Joined Oct 2009
Total Posts : 2217
   Posted 1/11/2011 7:00 AM (GMT -6)   
There's pain and there's discomfort and then there's those odd reminders that something was done to you.

I only had real pain a few times in the fortnight after surgery - we're talking about pain that actially prevents you sitting.
For several months I had to adjust cushions etc and sit on one buttock etc so as not to feel uncomfortable (And it's this way of sitting slightly lopsided that I think may contribute to some of us getting back ach and hip ache.)
Now 18 months after surgery I just get the occassional sensation inside my perineum that goes away after a few seconds (like yesterday when I was on my push bike) It's just that devil inside saying hello remember me.

Born Jun ‘60
Apr 09 PSA 8.6
DRE neg
Biop 2 of 12 pos
Gleason 3+3
29 Jul 09 DaVinci AVL-NKI Amsterdam
6 Aug 09 Cath out
PostOp Gleason 3+4 Bladder neck & Left SVI -T3b
No perin’l No vasc invasion Clear margins
Dry at night
21 Sep 09 No pads daytime
17 Nov 09 PSA 0.1
17 Mar 10 PSA 0.4 sent to RT
13 Apr 10 CT
28 Apr 10 start RT 66Gy
11 Jun 10 end RT
BMs weird
14 Sep 10 PSA <0.1
Erections OK

New Member

Date Joined Jan 2011
Total Posts : 5
   Posted 1/11/2011 10:10 AM (GMT -6)   
Thanks all ,

I got yesterday the foam cushin.I just hope that I will be able to sit without discomfort,take a bicycle ride , a ski trip,or a motorcycle ride...will be a big loss for me here in California not being able to do this activities.

Thanks Marius

Age at DX 53
Aug.08 PSA 4.2
Aug.09 PSA 5.2 DRE Neg
JUL.10 PSA 8.2 DRE pos on left side
Aug.10 Biopsy 1 of 12 cores positive 10% PNI
Gleason 3+3 =6 stage t1c / post-op 3+4 =7
Clear margins
Da Vinci RP 12-14-10 Stanford CA
Catheter removed 12-24-10
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