Rectal pain after prostatectomy!!!!

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New Member

Date Joined Jun 2015
Total Posts : 1
   Posted 6/6/2015 9:06 AM (GMT -6)   
Hi guys. I had prostatectomy 6 months ago. Fully continent at 3 months and was able to achieve an erection 2 weeks after surgery. 6 weeks after surgery i begin to develop perenium pain( burning, pulling, aching). This symptoms was very bad during the first 2 months. The pain had improved slowly but i still have the rectal pain now. My surgeon did a DRE and told me he felt my rectum is stiff anteriorly which is entirely expected at 4 months. He also told me that i have a lot of scar tissue in my pelvis which takes about a year for the body to break down. My surgeon also told me he would expect things to improve with time.The rectal pain is making me very depressed and worried. Just want to know if anyone out there have any similar experience.

Post Edited (Jay1968) : 6/7/2015 7:26:42 AM (GMT-6)

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4831
   Posted 6/6/2015 10:31 AM (GMT -6)   
Welcome to the site.

Your situation sounds a bit unusual to me. Is the pain worse after a bowel movement? If so, a stool softener might help.
Age 60 - 5'11" 210lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6
06/25/08 - Da Vinci robotic laparoscopy
03/05/15 - Six and a half year PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.

“Nobody can go back and start a new beginning, but anyone can start today and make a new ending.”

Regular Member

Date Joined Nov 2014
Total Posts : 304
   Posted 6/6/2015 12:02 PM (GMT -6)   
The rectal pain is probably the worst. Not sure how much of it is from the surgery or the hemorrhoid that was either caused by, or aggravated by the biopsy.

Fortunately at 4+ months post surgery things are improving albeit slowly. I still get the pain/pulling/burning when I run and I don't think I will ever just plop down onto a chair again but things are definitely better than the first couple of months.

Hopefully things will continue to improve for you.
Age at Dx 54 10/23/14 PSA 9.75 DRE- T1c
Biopsy: 2 of 12 GS7 (3+4) 7% of sample #1=20%G6, #2=10%G7
Scans: 1/22/15 CT / Bone Clear
DaVinci: 1/27/15 Prostate 36gr GS7 (4+3) 8% of organ
EPE- SV- LN- Clear Margins pT2c
Pad Free at 14 weeks, ED responding to PDE5
PSA @ 3 Months <.05

Veteran Member

Date Joined Aug 2013
Total Posts : 633
   Posted 6/6/2015 6:18 PM (GMT -6)   
Hi Jay, Welcome to HW forum,
I have yet to come across rectum issues of RRP,
Upping this thread for those experience or Snr members that can help you.
Age:62 PCA: 60
04/24/13 dx PSA 30.3
06/26/13 biopsy
5/10 cores positives G9
RALP 08/02/13.
post path
Tumour : 5% on both lopes
G:5+4= 9
29 lym nodes, nerve b'dles,
seminal ves removed, neg
negative margins
4th wk back to continent
3rd & 6th mos PSA<0.03
10.5Mos PSA 0.06
13.5Mos PSA 0.11
17.5Mos PSA 0.17
18.5Mos SRT (66 gy)
21 mos PSA 0.04

Veteran Member

Date Joined Oct 2014
Total Posts : 503
   Posted 6/7/2015 7:52 PM (GMT -6)   
I went to a gastro doctor finals after three docs had told me internal hemorrhoids were my problem. He diagnosed me with anal fissure, coming from the biopsy. It takes a long time to heal and you'd need the right medicine (which I didn't have for four months).
Age: 49
Family: Father - prostate, colon, intestinal, bladder, brain, and melonoma cancer. He's 81 now.
PSA: '13 - 2.5, '14 - 4.5, Jan. '15: 1.7, May '15: 1.4
Dx'd 10/2014
3+3=6 (<5% of core), 3+4=7 (10% of one core), 3+4=7 ("Discontinuously" involving two cores, 40% and 50%) Left base, mid and apex.
Hobbies: Pickup basketball 3x/week, crossfit 2x/week.
HDR Brachy 12/2 & 12/16 Atlanta

New Member

Date Joined Jul 2017
Total Posts : 1
   Posted 7/26/2017 5:50 PM (GMT -6)   
Dewayne, I'm having similar symptoms and have a suspicion that I may have the same issue that you had (fissure caused by biopsy). I'm currently almost 3 months out from radical prostatectomy and still having issues with sitting. I have a sigmoidoscopy scheduled to see what they can find. What meds did you take to heal the rectal fissure? How long did that take to heal?

Regular Member

Date Joined May 2014
Total Posts : 174
   Posted 7/27/2017 9:01 AM (GMT -6)   
I also have an anal fissure, although I never linked it to my biopsy. It was worse pain than having my prostate removed. Going to ther bathroom was hellish. The treatment I was given is diltiazen cream applied internally 3 times a day. It worked slowly and only did so after I found a way to get it inside without stretching the area ... ended up using a thin stainless steel curved rod. They come in different sizes and made application of the ointment easy. Straining making a BM / large hard stools will easily open up a fissure that is starting to heal, so you need to watch your diet and drink lots of water. My doc said these are not easy to get rid of and he was right !

For times when you pain is severe, I use an Anurex .... its a liquid filled thingy you buy at a pharmacy for $30 here in Canada. You keep it in the freezer and when its painful you lube it, slide it into your butt and sit on it. The cold really help ! Get one ! Afterwards clean it , put it back in its plastic container and its ready to use again in a few hours .... it helped me a lot !!!!
PSA before RRP May '14 6.44

Removed prostate, seminal vessels. G7 (3+4) 5% involved
pT2c Post RRP PSA <.05. 8 month post RRP PSA 0.12
33 SRT treatments finished May 4, 2015

October 2016 PSA still undetectable

Regular Member

Date Joined Oct 2016
Total Posts : 250
   Posted 7/27/2017 10:05 AM (GMT -6)   
After my partial colon resection last year had some of the same feelings.
First thing is to start taking fiber. Critical to have easy bowl movements. I took a few scoops of Konsyl Brand because it is most natural and gave me good soft bulk that was easy to pass. Also, don't stretch your cheeks when you sit on the toilet. I looked at it this way.... how would I heal a cut, say, on my finger. As it is healing together if you keep stretching and pulling the thing apart it wont heal. That was my theory anyway.... and keep area slightly moist to heal, I used mainly Vaseline. Also used a lot of diltiazen cream to calm sphincter muscles, along with sitz baths to clam/clean (don't stretch), and suppositories for early flares. Its a multi-front attack for sure. _Ken
DX 9/2011 @ age 50, PSA: 2.1, 10/6/2011 RP Da-Vinci
4-3 Gleason, PT2C, -SV, -Mar,+PI, NX... <.02 first 3+ years
Start SRT@ PSA 0.25, 38 Sessions-68.4 Gy, Finished 02/1/17
PSA: 5/17-.12,
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