after surgery rectal pain

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New Member

Date Joined Aug 2007
Total Posts : 3
   Posted 8/8/2007 11:51 AM (GMT -6)   
Hello my name is Ish,
I am honored to have joined this forum, I must thank everybody for helping to educate me through thier own experiences.  I had my surgery on July 23, 2007 and my psa was 3+3 all cancer removed and contained, Dr. feels really happy with how all went both nerves spared my only problem is pain in the rectum it hurts allot and causes me great discomfort. I do take the laxatives stool softeners and try not to sit mostly lay down or stand up. still slightly incontinent. but really wish I knew if it was normal to have pain in that area for this long. eyes

Veteran Member

Date Joined May 2006
Total Posts : 2542
   Posted 8/8/2007 12:30 PM (GMT -6)   

Hi  ~ ish & Loved Ones,


Caring Enough to Share…..  

A   “Special”  Warm Welcome  to  You!  yeah   


This is truly a great forum!!! ~ “You” have joined! You are now part of our forum family ~ a group of wonderful individuals who are so willing to share their journey.


Thank you for joining all of us on this road to HealingWell…..


KNOWLEDGE IS POWER... and POWER conquers fear


Keeping you Extra Close in our thoughts and prayers.

In New…Friendship ~ Lee & Buddy


“God Bless You” 

It's a little prayer  ~  "God Bless You"  ...but it means so much each day,

It means may angels guard you and guide you on your  way


(Direct Link ~ just click on the title below and a new window will open!  

Reminder … click on the REFRESH icon once you get there)


Helpful Hints ~ & ~ Direct Links to Important Topic Threads ~ Hope this helps you!! :)


Prostate Cancer Resources, Helpful Hints, and Topic Thread Links

Veteran Member

Date Joined May 2006
Total Posts : 2542
   Posted 8/8/2007 12:36 PM (GMT -6)   

Hi ~ ish,


We are thrilled you joined us ~ thank you for reaching out!!!  It truly touches all of us that you’ve been able to pull from all of our experiences… here on HealingWell  to help your journey be a little smoother.   tongue  


Gleason 3+3

Can you give us a little more information…. 



What type of surgery did you have?


With your posting… it’s obvious you are concerned… Do not hesitate to contact your urologist and explain to them what’s going on…..  Hearing from us will help some.. but hearing it from your doctor sometimes “totally” settles the mind.  You don’t need the extra stress ~ while you’re on this healing/recovery stepping-stone.


There’s been a lot of movin’ stuff around down in that area…  can you give us a little more “explicit” details on the pain.  Several members had a lot of pain in the testicles over a period of time.    Have you had constipation since surgery?  Hemorrhoids in the past?   


Continue with your stool softeners and a donut pillow is great for the chair!  We still use ours J


Stay close ~ okay…

Keeping you close in thoughts and prayers.

In Friendship ~ Lee & Buddy

mama bluebird - Lee & Buddy… from North Carolina

J  We invite you to visit our personal thread:  Click Here:  “Our Journey” ~ Sharing is Caring 

April 3, 2006  53 on surgery day

RRP / Radical Retropubic Prostatectomy

PSA 4.6   Gleason  3+3=6    T2a   Confined to Prostate

2nd PSA 02-06-2007 Less than 0.1 Non-Detectable :)


Regular Member

Date Joined Apr 2007
Total Posts : 66
   Posted 8/8/2007 12:49 PM (GMT -6)   
Hi Ish,

I remember about two weeks out Curt had one day of extreme rectal discomfort. I remember giving him a hot water bottle to lay against it while he was laying down and that helped. Seems to me that someone else on here had the same complaint...but again it was just a one day thing for Curt. Bluebird is right, you should let your Dr. know what's going on if you have any concerns. Best to be safe.

Age 52
Diagnosed 2/19/07
10 of 24 cores positive
Gleason 3+3=6 Changed to Gleason 3+4=7 after surgical pathology
DaVinci Prostatectomy May 11, 2007 at Univ. of Mich. Hospital
Stage: T2b
Pathology: May 16 - Cancer confined to prostate, Margins, Lymph & Seminal Vesicles all CLEAR!
Father and Uncle had prostate cancer
First PSA after surgery- July 5, 2007 = <0.01 !!!!!!!

Regular Member

Date Joined Feb 2007
Total Posts : 365
   Posted 8/8/2007 2:27 PM (GMT -6)   
I had discomfort down there for about four weeks after surgery. It was uncomfortable to sit down for more than about five minutes, so going to movies, sports events, restaurants etc. was a chore. You are now healing inside and it takes about four weeks for that to happen. I think you're perfectly normal, but I'm not a doc.

54 years old

PSA = First ever was 9.8 in late Oct. ‘06, two weeks later, 10.1

DRE: Negative

Biopsy results 11/22/06 (6 out of 8 cores positive), both lobes, Gleason 3+3 = 6

Da Vinci Robotic RP surgery, City of Hope, Jan 12, 2007

Post surgery pathology – Organ confined, Gleason still 6, margins clear.

First post-surgery PSA -- Undetectable, 2/20/07

Veteran Member

Date Joined Apr 2006
Total Posts : 818
   Posted 8/8/2007 3:08 PM (GMT -6)   

Hello ish,

Me too. I had this aching pain in that general surgical area for weeks. Gradually the pain dissapated, and I believe excercise and the body's own healing process worked. Certainly if pain persists, and there seems to be little improvement you should call your doctor. Otherwise everyday will be just a tiny improvement on the day before. So good luck to you, and I hope you feel better soon.


Diagnosed at age 60
PSA went from 2.2 to 3.8 in 14 months
2 of 14 cores positive at 10%
Gleason 6(3+3), negative DRE, neg. boundaries
DaVinci surgery on 02/23/06

New Member

Date Joined Aug 2007
Total Posts : 3
   Posted 8/8/2007 4:41 PM (GMT -6)   
Thank you all for the great advise I realize I forgot to mention my surgery was done by the davinci and I did try that hot water treatment and it really did help thanks for the suggestions. I will definately keep in touch from now on. thanks again for the advise. also called my doc said its all part of the healing process just upped the dose of laxative and stool softeners.

Veteran Member

Date Joined May 2006
Total Posts : 2542
   Posted 8/8/2007 5:36 PM (GMT -6)   
:-)   Hi ~ ish,


I’m so glad you responded so quickly!!  yeah   Buddy & I invite you to visit our personal thread listed in our signature…  If you can pull one thing to help your recovery/healing process to be less stressful…. Our gift to you … is Sharing our experience.


Thank you again ~ it really means a lot when we have new members ~ introduce themselves… It allows us to walk with you…


Now ~ don’t forget… as time permits ~ let us know a little more!!  

Check out the specifics on how to set up your Signature…. in our last posting to you!

Click on 2nd locked posting at the top of the prostate main page… titled: Prostate Cancer Resources, Helpful Hints, and Topic Thread Links


Look for # 5 Signature Line


Stay close!!!!  And  Heal ~ing~ Well  (listen to your body!!!!)

In Friendship ~ Lee & Buddy

Cedar Chopper
Regular Member

Date Joined Mar 2007
Total Posts : 432
   Posted 8/8/2007 5:42 PM (GMT -6)   

The prostrate and all the other items removed were very close to inside of the "crotch" area between the testicles and the rectum.  The catheter has also irritated the muscles in this area.

Most of us got an inflatable "donut pillow" (available at most drug stores) but
  don't inflate it all the way full.
This will help you find postions to sit wthout disturbing this painful area so much as you heal.
I was very sensitive in this area for over almost two months.

Be patient!  You will feel better.  Until you do, rest, walk, and take it easy!

Warm regards!


2 Years of PSA between 4 and 5.5  + Biopsy 23DEC06 
Only 5 percent cancer in one of 8 samples.  +  Gleeson 3+3=6
Radical Prostatectomy 16FEB07 at age 54.
1+" tumor - touching inside edge of gland.  + Confined:)
Texas Hill Country FRESH Produce Department Manager
Have you had your 5 colors today?

New Member

Date Joined Aug 2007
Total Posts : 3
   Posted 9/3/2007 8:50 PM (GMT -6)   
Hi guys,
I have been doing much better health wise I am back to my normal activitiies and it has only been 6 weeks, still not doing to well in the bedroom, my wife keeps asking me to be patient and I realize I am rushing I take 100 mg of viagra and had just one erections for about 3 minutes and it went away what am I doing wrong and should I be trying something else my next appointment with my doc is novemeber 20, what do I do to help me feel better in that department I want to feel the same way I did pre operation anybody want to talk about what progress they are making 6 weeks to 6 months after surgery I have all the nerves spared and the doc said all should be well please give me some hope. eyes

Veteran Member

Date Joined Nov 2006
Total Posts : 1464
   Posted 9/3/2007 10:03 PM (GMT -6)   
Hey Ish,

Congratulations on your healing progress. It sounds like you are doing very well physically. But you need to take it easy still because it takes quite a while for heal inside. Patience and PCa go together.

Having a good erection on Viagra after just 6 weeks is real progress. There are many posts on this forum about our ED treatements and progress. My own experience is that I started taking 50 mg Viagra and 1500 - 2000 mg L-Arginine daily about 3 months after surgery. I should have started sooner but had some other problems that delayed me in the ED department. I still take the Viagra and L-Arginine daily and when we want to have sex, I take 50 mg viagra, wait 2 hours then take a penile injection of .02 ml Trimix. It works great - the erection stays up for about an hour and is better for sex than I have had for many years.

We are all different so please read other experiences then talk to your urologist about ED treatment. And be patient...


Age 73. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Pathological stage: T2C. Gleason 3+4. Cancer confined to prostate.
PSAs from  1/3/07 - 7/18/07 0.00. 
T level on 4/2/07 - 48     On 7/16/07 - 613
Started Tri-Mix on 8/7/07.  .02 ml and 50 mg Viagra.  It works!!!
Next PSA and T tests on 10/17/07
"Patience is essential, attitude is everything."

Regular Member

Date Joined Mar 2007
Total Posts : 237
   Posted 9/3/2007 11:21 PM (GMT -6)   
Hey, ish. Glad to hear the rectal pain is resolving. I, too, had the same thing -- reallly painful for the first couple of weeks. Dr said lots of bruising results from the surgery, so the pain is a normal thing. As to the ED, I think it was Swimom who remarked on one of the ED threads how little the drs tell us what to expect in that area. Prior to surgery, my dr told me that it takes about 18-24 months to regain pre-surgery function. What he didn't tell me, and what I have since learned here, is that for the first three+ months, most guys get no erections of any kind, not even a "stirring" down there. After putting some direct, pointed questions to my dr, he said that many men don't even respond to Viagra or equivalent for the first few months and not to expect much before six months! I'm at just at 3 months, and I am getting some response from 100 mg of Viagra (maybe 50%) and even a little bit "on my own." He says I'm right on track and to be patient and let the nerves heal. He was able to spare both nerve bundles, and he says "you're going to be fine." Based on what I've been told, sounds to me like you're right on track. Hang in there (so to speak).

60 years old
Dx March 2007
Pre-Surgery Gleason 3+3 = 6
Clinical Stage: T1c
Biopsy: 1 in 10 positive
Da Vinci: June 7, 2007 
Post-Surgery Gleason 3+3 = 6
   Clear at margins
First Post-PSA Sept 07

New Member

Date Joined Sep 2007
Total Posts : 1
   Posted 9/8/2007 5:25 PM (GMT -6)   

Just thought I'd jump in on the rectal pain subject. I had the Da Vinci assisted surgery on the 28th of August. After the initial soreness around the abdomen and the gas pains resolved, which was about 3 days ago, I started to feel rectal pain upon sitting at a desk for any more then 30 minutes and during defecation. It began to concern me enough today that I looked for and found this forum. I have found that the DSS stool softeners are to harsh for me and cause me to strain more, I have taken metamucil before the surgery and after resuming it, it works and is definatley easier on my intestinal tract. At least I know that the pain problem isn't so uncommon, and I just called my wife and asked her to bring me home one of those doughnut pillows! Thanks for the info guys, it has helped me.



New Member

Date Joined Sep 2007
Total Posts : 6
   Posted 9/13/2007 10:03 AM (GMT -6)   

Hi Ish,

I came accross this site today. I had the same concerns as you. I had surgery on July 25 th. I was just trying to figure out when my rectum pain started, and it was as soon as I started back to work. Every morning I start my day with a bowel movement like clock work, even though I no longer take a stool soften. Some days I have to put first aid creme on my rectum because it is so sore. I did finally bring a pillow in to work to sit on and it seems to help. I wanted to know how you are making out??

age 48

gleason 3+3

robotic prosataectomy 7/25/07

Stage T1B

first PSA post .1

Regular Member

Date Joined Aug 2007
Total Posts : 120
   Posted 9/13/2007 2:49 PM (GMT -6)   
Know about the pain, I had the same. I first got an inflatable donut, but wheather it was fully or partically inflated it did not work well for me, besides the plastic or rubber caused me to sweat in the area of contact. I returned it and bought a sponge one (18 inch wide ) with a washable cloth cover, it is great. I know this post is a little late for you, but maybe someone else can use the info. Uncle Dan
Age 67
No symptoms, DRE negative
10-06 PSA 5.44 01-07 PSA 6.47
CT and Bone scan negative
05-07 Biopsies, 2 of 6 positive
Gleason Score (3+4) 7 Stage T1c
08-14 Dr. Dasari - Baptist Hospital
da Vinci RAP, five hours surgery
Hospital 2 1/2 days, 8 -14 to 8 -16
Pathology report Negative margins
Cancer encapsulated,
Lymph nodes 2 R & 1 L - Negative,
R & L seminal vesicles - Negative
Gleason changed (4+3) 7 closer to 8 than 6
8-31 Use pad when out, Sleeping without pad.

New Member

Date Joined Sep 2007
Total Posts : 9
   Posted 9/13/2007 7:00 PM (GMT -6)   
darn, first I find out this surgery will kill my sex life (for a while) and then I get to rediscover my infant years with Depends and now I find out it is going to be a pain-in-the-ass as well! :-) ... I tell you what, this cancer thing just isn't fun.

But, on a more serious note, this site is great. Thanks for the post ISH; it is heartening to see you getting better and better. Between this and another post I read yesterday that really added a lot of detail on issues with incontenance, I have learned a whole lot. Now, off to the store to stock up on donuts.
Age 60 (almost)
Biopsy 2005 - Negative on 12 cores
Biopsy Jan 2007 - Negative on 23 of 24 cores, inconclusive on 24th core
Biospy and Dx Aug 07, 1 of 24 core samples, Stage T1c, Gleason 3+3
PSA went up and down from intial 4.5 with an enlarged prostate to 9.1 prior to last biopsy
Free PSA 26%
Still deciding on treatment at Kaiser in Northern VA

New Member

Date Joined Jul 2011
Total Posts : 1
   Posted 7/10/2011 12:21 PM (GMT -6)   
rolleyes  Hi I'm Pojac
  I just want to share with whom ever will listen, the type of pain I've experienced since I had a perirectal abscess removed.   Since for the most part I thought I had hemorrhors, I did everything one would do for such.  But  what a mistake for all it did was make things worst.  The irritation was so great and the pain level so high that this 67 year old man cried like a little boy with a triple tooth ache.  It's been two days out nof the hospital and I'm still taking pain pills as a must.   They really don't elimanate the pain but help me bare it.  I've searched for a releif program but there is none, only time.  I ask my mother -in law to give me some help, because she has had same type problems.  Her advice, be careful of being your own doctor.  I'm required to take a seth bath often and it helps.  Hope this helps someone.

New Member

Date Joined Sep 2012
Total Posts : 1
   Posted 9/27/2012 10:36 AM (GMT -6)   
my husband has been having the same pain he had the devincci surgery 2 wks ago now he is suffering with pain down there and in the rectum,its makes me feel more at ease to know that it is a common thing with men after prostate surgery.thanks

New Member

Date Joined Nov 2012
Total Posts : 3
   Posted 11/23/2012 9:24 PM (GMT -6)   
I'm 10 days post op. I had the robotic as well and the rectum pain started after being home sitting around. I just thought it was bad until I got the catheter out and had to start finding those muscles to pee. My rectum and everything in that area after three days of trying to make a stream, aches like hell. It literally feels like I've been kicked in the butt. I'm certainly hoping that all if this will pass at some point.

English Alf
Veteran Member

Date Joined Oct 2009
Total Posts : 2218
   Posted 11/24/2012 5:33 AM (GMT -6)   
Welcome to assorted new folk posting here, but you are posting on a very old thread so don't expect too many replies from the original posters.

Pain after surgery is something to talk to your surgeon about and to get dealt with quickly.
If you have been given pain meds after surgery they are to help deal with pain so don't stop taking them too soon.
Aches are something slightly different. Aches in the bowel area can be due to faeces being too hard etc and so stool softeners and good diet can help there, also plemnty of gentle walking raether than too much sitting is also good.
And even if you have had robot surgery that only leaves small scarfs on the outside there has been major trauma on the inside that will take a long time to heal, thee will for isntance be a lot of swelling and scaring that takes a while to get better.
Also while we all get told to to kegel exercises to help with continence you mustn't do too many, or you will just end up with aching muscles.

Age dx48
04/09 PSA 8.6, DRE neg. Biop 2/12 pos. G6
07/09 RALP in Amsterdam
PostOp G=3+4 Bladder neck & SVI -T3b. No PNI No vasc.inv. Clear margins
09/09 No pads
07/12 1 pad per day
11/09 PSA 0.1
03/10 PSA 0.4 04/10 CT.
Summer/10 66Gy SRT
09/10 PSA<0.1
01/11 PSA<0.1
04/11 PSA<0.1
07/11 PSA<0.1
10/11 PSA<0.1
03/12 PSA<0.1
08/12 PSA<0.01
No real ED

Regular Member

Date Joined Jul 2012
Total Posts : 120
   Posted 11/26/2012 12:21 PM (GMT -6)   
I had very significant rectal sx after surgery.  When I brought them up to my doctor or to others they made me feel stupid.  It seemed I was alone on this.  Overtime I did notice that others had this complaint.  It was initially driving me nuts.  It is all surgical trauma and does resolve. I will say now that I am seven months out my rectum is totally normal. At least this one thing has normalized completely. My bladder is getting there, too- if only my erections would cooperate.  
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