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Thread: Need help for bad groin pain after prostate surgery

  1. #1
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    Need help for bad groin pain after prostate surgery

    I had davinci prostate surgery Feb 17, which basically cured me of prostate cancer. My PSA is now zero. I was doing great two months after surgery, walking a mile a day. But one day a pain started in my left groin, just under the skin, and it continues until today. IT is an intermittent pain brought on by standing or walking. It is so serious that when it comes on, I can not walk, nor stand, or do anything. I MUST sit down for a half an hour before it eases. I have no skin rash or lump, nothing except it seems right under the skin in my left groin. The CT scan showed nothing. It is really puzzling: Two months ago I was fine, and now this.
    I need to see a specialist, but what specialist? Any suggestions? The pain is very localized and feel like someone is jabbing me with something sharp or pinching me hard in a sensitive area.

    The pain is intermittent, brought on by just walking, stretching, standing, and any other movement of the groin and left leg. It is a sharp pain both in one place and along the V of the groin. I have had only two relatively pain free days in the last two months. Right now I must walk very gnigerly to avoid pain. I have been advised to see a pain clinic for a diagnosis.
    danny

  2. #2
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    Is it continuous, or more like 'pulsating' pain? I got the pulsating kind about two years after surgery, I've had it a couple of times since. A bit like someone sticking a needle at unregular intervals in the groin.

    My doctor thinks that it may be hernia, which sometimes follows surgery. If it is hernia, then further surgery is an option. If you find out some other reason, I'd be interested to hear about it.

  3. #3
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    Diagnosis of groin pain:

    Tissue scaring, probably from removal of lymoh nodes, leading to entrapment of a key nerve or pressure causing the nerve to fire way too often, or more intensely. I am taking three drugs: one to induce healing, one to deaden and alter the response of the nerve , and one to reduce the pain topically, since the pain is just below the surface of the skin.
    This program therapy is working. The pain has subsided dramatically, and I am now walking and doing simple chores like shopping for food, cleaning my house, etc. In time I will begin athletics again: tennis.
    danny

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    my husband had a radical prostatectomy in January 2011. while the catheter was in he started bleeding, the blood looked like coco cola. we landed up in the emergency room twice. During this time he had a terrible burning sensation in his groin area. The catheter was removed even though the blood was still black.Now he has terrible burning pain in his groin (mainly on exertion) and his right testicle is incredibly painful all the time. He has had an xray , scan and Mri , the only thing they found was a blood sack in abdomen which they tried to syringe out with no success.
    The urologist says he doesnt know whats wrong. This sounds very similar to what you had except for the intense constant pain in testicle.

  5. #5
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    Topical treatment

    I've had the same problem, intermittently and less severe, for years. It followed both my vasectomy and, much later, radical prostatectomy. In both cases the original surgeon didn't want to hear about it. As with you, it was probably tissue scarring.
    I have self-treated using 600-800 mg ibuprofen, ice pack, or cold water to the area with a handheld showerhead (sounds a lot worse than it is).

  6. #6
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    Groin pain appeared about 2 1/2 weeks after Da Vinci surgery

    I am 53, had davinci prostectomy 3 1/2 weeks ago, everything went exceedingly well with that. No (serious) problems with incontenance and working on the sexual function which looks like it will be fine.

    A week ago, I suddenly developed SEVERE groin pain, Drs. don't know what it is yet. Had ultrasound, yesterday a CT scan (results not back yet.) Pain was so bad, I had to go to ER a day after starting back to work. My symptoms appear if I walk around and do very minor things for about 5 minutes. I can feel the pain coming on and run to the sofa to lie down and put a heating pad on it. I don't have an infection, WBC normal. No kidney stone.

    I can't go to work or do more than very simple activities. Can I expect this pain to go away? Has anyone had this and can I expect it to go away? If you had this an it went away, what did you do to resolve it and how long did it take for you to recover?

  7. #7
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    Danny, by the way, what did your physician prescribe to deaden and alter the response of the nerve?

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    Severe groin pain

    Quote Originally Posted by pdx_dude View Post
    I am 53, had davinci prostectomy 3 1/2 weeks ago, everything went exceedingly well with that. No (serious) problems with incontenance and working on the sexual function which looks like it will be fine.

    A week ago, I suddenly developed SEVERE groin pain, Drs. don't know what it is yet. Had ultrasound, yesterday a CT scan (results not back yet.) Pain was so bad, I had to go to ER a day after starting back to work. My symptoms appear if I walk around and do very minor things for about 5 minutes. I can feel the pain coming on and run to the sofa to lie down and put a heating pad on it. I don't have an infection, WBC normal. No kidney stone.

    I can't go to work or do more than very simple activities. Can I expect this pain to go away? Has anyone had this and can I expect it to go away? If you had this an it went away, what did you do to resolve it and how long did it take for you to recover?
    I am 2 1/2 weeks out from surgery. Just started getting the same severe pain as you described. I had ultrasound and all was fine. Doctor said it wasn't a hernia and I didn't have an infection. I only find relief when I use a heating pad also. I too would like to hear from someone who has experienced this and if it went away on its own or was it more serious. i'm worried because I want to resume weight trading and karate at some point, but don't see it happening if I have deal with this type of pain with just minimal exertion.

  9. #9
    Moderator Top User HighlanderCFH's Avatar
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    Wishing you the best, along with a warm welcome to the forum.

    Stay tuned as others, with more direct experience with your problem, will be jumping in to help.

    Chuck
    July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA 9/ 2011 = 5.7.
    Local uro DRE revealed significant BPH, no lumps.
    PCa Dx Aug. 2011 age of 61.
    Biopsy DXd adenocarcinoma in 3/20 cores (one 5%, two 20%). T2C.
    Gleason 3+3=6. CT abdomen, bone scan negative.
    DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
    Surgeon was Dr. Matthew Tollefson, who I highly recommend.
    Final pathology shows tumor confined to prostate.
    5 lymph nodes, seminal vesicules, extraprostatic soft tissue all negative.
    1.0 x 0.6 x 0.6 cm mass involving right posterior inferior, right posterior apex & left
    mid posterior prostate. Right posterior apex margin involved by tumor over 0.2 cm length,
    doctor says this is insignificant.
    Prostate 98 grams, tumor 2 grams.
    Catheter out in 7 days. No incontinence, minor dripping for a few weeks.
    Post-op exams 2/13/12, 9/10/12, 9/9/13, 9/29/14 PSA <0.1
    Semi-firm erections from time to time.

  10. #10
    Experienced User shu246's Avatar
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    Kerry -

    My recommendation: back off and take it easy for a while. 2 1/2 weeks post surgery is *way* too early for anything more strenuous than walking around.

    Seriously. I had laproscopic hernia repair (left and right) in 2001. Sitting in a normal office brought pain at the fold of the groin after a short time. This gradually got better, but it was a full year before I could sit normally for a long time. Two years before I felt fully back to normal.

    The daVinci operation a year ago was much the same, but not quite as severe. You can search up some of my posts on the forum, if you care to.

    Tissue layers in the lower abdomen were separated to create the operating cavity. They need to patch themselves together. Water don't normally run up-hill, ya know, and fluids are going to collect in the testicles, have a harder than usual time making it back up through the swollen groin.

    Yes, it does feel a lot like a hernia - same dull pain of restricted circulation. If you've had it checked by the doc and he says no hernia, than just back off and give it time to heal.

    Best wishes, - shu
    Birth Year 1943; BMI 25
    Dec 2010: PSA 2.8
    Mar 2011: PSA 2.4
    Sep 2011: PSA 2.2; free/total 12%
    Oct 2012: PSA 3.0; free/total 10%
    Apr 2013: PSA 4.0; free/total 9%
    Urologist notes adverse trends of both PSA and f/t ratio; calls for biopsy
    Jun 2013 biopsy, 12 cores: 2@3+4=7, 1@3+3=6, 1 pre-cancerous.
    Aug 2013 DaVinci RP in Houston.
    Aug 2013 post-op pathology: 28 grams;
    ..confirm Gleason 3+4=7; five tumor foci found within prostate;
    ..clean margins; clean seminal vesicles, clean vas dif.; clean lymph nodes;
    ..perineural invasion present.
    Oct 2013 post-op visit; PSA <0.1
    occasional small squirt of urine with yawn or full bladder
    mr. johnson more bashful than before, but still able to stand up by himself.
    Mar 2014: PSA < 0.1
    Aug 2014: PSA < 0.1

  11. #11
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    Groin pain

    Quote Originally Posted by shu246 View Post
    Kerry -

    My recommendation: back off and take it easy for a while. 2 1/2 weeks post surgery is *way* too early for anything more strenuous than walking around.

    Seriously. I had laproscopic hernia repair (left and right) in 2001. Sitting in a normal office brought pain at the fold of the groin after a short time. This gradually got better, but it was a full year before I could sit normally for a long time. Two years before I felt fully back to normal.

    The daVinci operation a year ago was much the same, but not quite as severe. You can search up some of my posts on the forum, if you care to.

    Tissue layers in the lower abdomen were separated to create the operating cavity. They need to patch themselves together. Water don't normally run up-hill, ya know, and fluids are going to collect in the testicles, have a harder than usual time making it back up through the swollen groin.

    Yes, it does feel a lot like a hernia - same dull pain of restricted circulation. If you've had it checked by the doc and he says no hernia, than just back off and give it time to heal.

    Best wishes, - shu
    Thanks shu. Don't get me wrong, I am following doctors orders and just walking for now. I have read a lot of posts on fluid building up causing my type of pain. I will give it some time.

 
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