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I had a bone scan yesterday i have wanted one ever since DX with PC 9 mth ago but the urologist said with my numbers there was no need post surgery PSA 9 Gleason 7.I had my RP 9.5 mth ago but i have been having buttock pain ever since my urologist said nothing to do with PC any way it has settled down lately not completely gone but not worrying me as much.
Well for piece of mind i arranged a bone scan and the next day the pain in both buttocks returned very bad I'm so worried.I hope it has nothing to do with the PC i get the results next week.My PSA numbers since surgery are @4wks 0.02 @8wks 0.01 @ 3mth 0.03 and at 6 mth again 0.03 i have my 9 mth PSA this Wednesday .I'm so worried any advise most welcome
You don't have metastatic disease. It is not in your bones. If your PSA was above 2 it might be possible but more typically 10 before you can feel bone pain after a prostatectomy. The pain may be coming from injuries caused by having the lymph nodes removed during your operation or some type of nerve damage. I've had some upper hip bone pain ever since my operation but it is not meatastatic disease.
Folks, if you want to read Bob's story to date it is here BOB MAC
Bob,
You are fortunate in that your diagnosis was, based on what you have told us here and in your posted story, a Low to Medium Risk disease.
The key factors in assessing the aggressiveness of the disease and the probabilities of it spreading or metastasising are the time the PSA takes to double and re-double and the Gleason Score, where a Gleason score above 8 is th best predictor of potential problems. You do not have those indcators, unless you post-operative pathology report revealed something you have not shared with us.
The pain you are experiencing is most likely resulting from the surgery or from some other pre-existing condition. As Frank says it is possible to damage nerves in the process of removing the gland but another cause is the position in which the man is usually placed for laparoscopic surgery. Essentially he is 'standing on his head' and this position can create damage to the nerves, especially when the procedure was a drawn out one as yours was.
I'll bet London to a brick that your scan is clear and that your PSA is low.
Hope you didn't get caugt up in the floods this weekend.
