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Cancer: Prostate Message Board
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Old 10-14-2012, 12:06 PM   #1
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Change in bowel movements and pain 2 months post surgery

Hi,

I had a robotic prostatectomy on 8/23/12. I am 47 years old and at the time my PSA 8.9 and my Gleason score was 6 (4 cores affected); I was T1C. They got all of the cancer out and spared the nerves. The cancer did not spread.

It has been a very hard recovery with lots of pain.

This week I have a noticed a change in my bowel movements. I have been going much more (up to 4 times per day) and there seems to be a feeling of pressure in my bowels/rectum. I am wondering if anyone else has had this happen to them.

Thanks.

 
Old 10-14-2012, 01:45 PM   #2
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Re: Change in bowel movements and pain 2 months post surgery

The symptoms you describe (called "tenesmus") sound like proctitis. It's common after radiation rather than surgery. Something is causing inflammation up there. It may be unrelated to the surgery, or maybe the surgeon inadvertently nicked the bowel? The only way to know is if you make an appointment with a proctologist who can do a quick and painless look-see. I would not get a referral from your uro-surgeon for that.

- Allen

 
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Old 10-16-2012, 09:30 AM   #3
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Re: Change in bowel movements and pain 2 months post surgery

Thanks for your help, I did not have radiation, the doctors said they got all the cancer and I did not need anymore treatment. I have pain in my rectum mostly at the end of the day. I have no blood in my stool. I saw my doctor yesterday, he said I should not be worried. But I still feel like after the prostate cancer, I'm more likely to have colon cancer. Thanks again for your input.

 
Old 10-16-2012, 09:53 AM   #4
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Re: Change in bowel movements and pain 2 months post surgery

I'm happy to hear your doctor checked you out and it looks OK. There's no reason why you would be at a greater risk of colon cancer. However, everyone should have a colonoscopy every ten years starting at age 50.

- Allen

 
Old 10-17-2012, 04:40 PM   #5
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Wink Re: Change in bowel movements and pain 2 months post surgery

I am not a physician, but it could be any one or all of the items below.. you might have an infection.. you might be experiencing some surgery recovery discomfort.. you might be sore from adhesions from the surgery. Note, the prostate is sort of pealed away from the colon during surgery so there still might be some healing/streaching/tugging going on.. Lastly it might take about 3-6 months for your body to find its new normal. For instance, you might feel weird tugging when you exercise your kegel muscle.

Of course, if you feel real discomfort and pain, then its time to see the doctor again.

Getting a colonoscopy is a good idea, but I doubt if your PCA has metasized given your stated T1C staging.. and PCA and colon cancer simultaneously seems unlikely to me in my opinion.

Hang in there! It took me about 3 months to get some level of normalcy back after my open RRP.

Last edited by russa; 10-17-2012 at 04:44 PM.

 
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Old 10-18-2012, 04:05 PM   #6
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Re: Change in bowel movements and pain 2 months post surgery

sseebach,
Get to a doctor quickly and rule out infection which could have devastating results.
Bob

 
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