Perineal and Rectal pain post op RPP prostatectomy

May 16, 2010

My husband is 3 months post op from his RPP surgey.

After many complications (Hemotoma at site of incision, catheter in for 7 weeks,

with 1 week of sever bladder spasms) two weeks ago he began INTENSE

rectal/perineal pain...not exterior (as from hemerroids) but more interior, and

in perineal area of incision site. He is back on 2 Vicodiin 3 times a day to

tolerate this. Was in emergency one day, and they did a CT scan that showed no

surgical problem from what they could see. His surgeon finally referred him to a

PAIN Doctor (in his same office) after we asked to have records sent to Mayo

Clinic for second opinion.

Now Pain dr wants to put him on methodone, nuerontin (which surgeon already had

him on - just too small dosage) and to start nerve blocks on Monday.

We do not want to do the Methodone until we go to Mayo for a second opinion.

Vicodin helping most of the time...and possibly Neurtontin is too. My question

is: Why not wait and see if Neurontin is effective, and Nerve block...before

Methodone treatments? NO ONE has even stated WhY he is having all this pain yet.

Seems strange to me, to try and treat something you are not even sure of what is

causing it.

What do you think? Have not found anyone who has had this problem, but one case

on the internet that suggest it could this be Pudendal nerve damage?

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