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Abdominal discomfort

Posted 16 Nov 2023 at 17:31

My OH is 10 weeks post robotic radical prostectomy. Surgery was successful with negative margins and psa is now undetectable. He’s been doing really well with his recovery apart from a nagging discomfort/dragging sensation in his lower abdomen which is becoming increasingly debilitating. Does anyone else have experience of this and what was the outcome?

Posted 16 Nov 2023 at 19:15

Hi Maria 

I had the  same op nine months ago and occasionally get lower abdominal pain, a bit like getting a stitch and its tender to the touch. Fortunately its not debilitating. Just a bit uncomfortable and only lasts a day or two.


Edited by member 16 Nov 2023 at 19:24  | Reason: Typo

Posted 18 Nov 2023 at 19:50

Talk to your doctor/specialist and ask them for a CT to check for a lymphocele. Post RARP I had an 8cm one which was in my lower abdomen on the left side and very painful (it's a leak from where they removed the lymph node) and they took me in to drain it (not painful).
It's fixed the problem.

Worth checking to see if this is what he has.

Posted 19 Nov 2023 at 02:14
It could be a number of things:

- adhesions (scar tissue)

- a clip left behind

- nerves jangling as they repair

- a hernia (particularly if he overdid things in the first few weeks)

- infection

- a lymphocele

There shouldn't be a pain which is getting worse or becoming debilitating. Best way to find out the cause is to see the GP and / or call your allocated urology nurse.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

Posted 19 Nov 2023 at 10:35
Thank you everyone. He’s now been to his GP and is on antibiotics for a possible uti (we’re not hopeful) and if it’s not they’ve said they’ll take it from there so I guess it’s back to urology for more tests.
Posted 20 Nov 2023 at 08:05


I had surgery at Easter and suffer from an occasional pulling sensation on my right side of my abdomen. I mentioned this to my surgeon on my 1st follow up after 10 weeks and he was quite dismissive saying nothing to do with surgery as they had not been round there during the surgery. I have found I tend to get it after lifting relatively heavy things (that would not have been an issue before!) so could be linked. I’ve changed my gym workouts to just body weight exercises using bands as a result. I will be bringing this up on my next appointment.

Posted 20 Jan 2024 at 10:27

Hi Maria,

I had RARP 8 weeks ago, & in a similar spot.

I experienced abdominal pain similar to what Adrianus describes. A dull stitch-like ache running down the right side groin, & a raised length about 4-5 inches long. 

I was admitted to hospital for a UTI on the 27th December, where I spent a week on an antibiotic drip. The day after I was admitted the ache became so tender, that when lying down on my back I couldn't even raise my right heel an inch off the bed it was that painful. I had to roll on and off the bed. I had full movement left, right and backwards of my leg, but not forwards, when in the standing position. However walking wasn't too bad. I mentioned this to my surgeon, who had a feel about, and said it was probably a build up of fluid as my lymph nodes were removed during surgery, and to massage it as much as possible to help disperse any fluid. After two days the pain was completely gone and I had full movement of my right leg again.

Two days ago a similar ache started. Similar raised area, but this time it is located just below the incision where the prostate was removed from the body, and down my groin to about half way down my inside thigh.  It's a bit uncomfortable but not debilitating. This is the only discomfort I'm experiencing post op, so I think I'm doing quite well all things considered.

That was a bit long-winded. Hope it helps & all the best to your OH.



Edited by member 21 Jan 2024 at 08:42  | Reason: pour spolling

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