Anyone experience pain, discomfort, tenderness along perineum post-RP?

Posted by mtb63 @mtb63, May 12, 2024

I am coming up to 9 months post what was described as nerve-sparing-RP. (Gleason 3+4 PSA 6.9). First 2 re-checks has revealed PSA < .08. I am still experiencing what I can only describe as mild - but noticeable pain/discomfort or tenderness along perineum and thru urethra. The pain is felt with direct pressure (i.e., pressing along the area or sitting on a narrow - like bike seat, etc., or pinching the penis). I have been doing aggressive kegel exercises since catheter removal (i.e., 2 x/day standing 10-second holds + 2-10x fast contractions - sets of 5; and1 x/day lying down - 20-35-second holds - x 10 reps. Sometimes I feel this pain/discomfort during these exercises. Continence has improved significantly - using single thin shield/day - sometimes not needed. ED has not improved noticeably and am trying micro-dosing cialis daily to help rehab. I am wondering if anyone else has had these experiences? Thanks very much and best to everyone in this group!

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I had more gut pain than perineal pain. Had to be mindful of that once gut pain went away. On the bicycle after 4.5 weeks. No pad after 3 months.

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