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Signature numbers and the latest question re pain

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Prostate Cancer
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Posted 9/8/2016 6:54 PM (GMT -5)
I finally looked up DH 's history so I could share his story. I was feeling a little naked around here without it! Please read our new Sig.

PC today gave us the ultra sensitive result at 1.9. I was initially so irritated when the tech calls with "your numbers are within normal limits". Ugh. Listen lady you have no idea what we have been through. I was nice. I promise.

We have decided to take the consult with the local smaller office RO here and do a second opinion with U-Mich with a dual appt with the specialist RO there and Dr Palapattu. We would like to see if the recommendation is the same.

He has literally no after effects from the RP so I am worried about starting up and having new side effects. There is one thing though...he is having groin pain near the prostate bed. Is that normal with biochemical failure? Pain is what started this whole debacle. Also there is an epididymal cyst. Docs have always maintained that those do not hurt.

Hmm

Picc
Posted 9/8/2016 7:54 PM (GMT -5)
Picc-

Thanks for entering the info for your signature, but you have to check the box "include signature" under your post to make it show up. Until then, you're still "a little naked" (not that I'm complaining). smilewinkgrin
Posted 9/8/2016 8:02 PM (GMT -5)
Picc, hang in there.
Posted 9/8/2016 10:40 PM (GMT -5)
Aha!!! I never saw that. OK here we go.
Posted 9/8/2016 11:12 PM (GMT -5)
Piccolo,

We seem to have gotten a little bit distracted with your signature and I don't think anyone has answered your question about the significance of his pain.

While we wait for the guys-who-know-stuff to chime in I will share my ignorance about pelvic floor pain and prostate problems. That will usually attract the attention of the smart guys.

The relationship between pelvic floor pain and anything to do with the prostate is fairly tenuous. Sometimes there are guys who have pelvic floor pain who also have some sort of infection/inflammation in their prostates. But the two only go together sometimes. There are guys who have the pain whose prostates seem to be A-OK as far as medical science can tell. And there are guys who have raging prostate infections who feel fine. Occasionally, doctors can help the pain with antibiotics, but not always... not even usually. And as for prostate cancer, it seldom seems to create that sort of pain. When it is advanced the bony metastases can cause pain, but not usually in the urogenital area.

As for whether salvage radiation might make his pelvic floor pain worse, I dunno.
Posted 9/9/2016 1:18 AM (GMT -5)
I defer to PDA. Inguinal hernias are sometimes associated with surgery. Perhaps surgery weakened the muscle wall (the surgeon would have had to scrape it up a bit to get a clear margin on the right apex tumor) and it took this long for the hernia to open up. If it were right after surgery, my thought would be pudendal nerve entrapment. It could also be a referred pain from elsewhere. It's not a common SE of early recurrence. I'd mention it to his doctor.

You are very well dressed now, Picc.
Posted 9/9/2016 5:30 AM (GMT -5)
PIcc, in an earlier post, you said PSA was 1.9, glad to see it's 0.19 (those pesky decimal points). It does sound like the right move is to see an RO, maybe a few doses of SRT will wipe it out for another 7 years.

Keep us posted.
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