Bulge above scar after RP ??

[Wade-o]

Hello everybody,

Dx 10/18 at 49 years old with PSA of 20.6 and gleason 3+4=7. I had RP 6 months ago. Everything seems to be doing fine. Last PSA at 3 months check up was undetectable, no ED, and almost fully continent, 1 pad a day. I manage a restaurant and spend 12 hours a day on my feet running around a busy restaurant. I'm convinced if I had a desk job I wouldn't need any pads.

Just in the last month I have developed a lump or bulge right above my scar from the RP, looks like a golf ball poking out of my abdomen. Its softish and doesn't hurt at all. At first I didn't really pay any attention to it, now I'm convinced its getting bigger. When I cough or yawn it really protrudes out. Has anybody else experienced this ?? scar tissue ?? My 6 months check up is next week and obviously I'll be asking about it. This group is so knowledgeable I thought somebody might have some experience with this. Any input greatly appreciated.

Thanks

[pjoshea13]

Hernia? Get it looked at. -Patrick

[Tall_Allen]

Hernias are common after RP.

[dd1953]

I also have such a bulge and it is just as prominent after a couple of years have elapsed. I researched it and considered that it might be a seroma as I believe I can sometimes hear liquid being expelled if I apply pressure to the bulge. However, the surgeon who had performed my RP said it was probably a hernia and recommended me to just ignore it as it's not bothering me.

[dadzone43]

Incisional hernia, just like mine. I will have surgery on it in January.

[Wade-o in reply to dadzone43]

Upper center of stomach ?? No pain ??

[dadzone43]

Yup. Just above the incision over my belllybutton. My urologist had a different opinion and recommended repair. Yes it is not bothering me but hernias due to some law of physics get bigger over time. The main worry is bigger enough to allow a loop of bowel into the hernia where it might get strangulated and develop gangrene. And mine has started to give me some minor discomfort. Can't call it pain, but it is discomfort.

[Hidden]

Sounds like a hernia. Hernia repair surgery is pretty routine and shouldn't require a hospital stay.

[monte1111]

I had hernia surgery. (Not because of prostate.) Went back to work after 2 weeks. I think normal time off is a month to a month and a half. Sure that depends on where hernia is and etc. Good luck.

[j-o-h-n]

FROM MAYO:

Inguinal hernia

Overview

An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. The resulting bulge can be painful, especially when you cough, bend over or lift a heavy object.

An inguinal hernia isn't necessarily dangerous. It doesn't improve on its own, however, and can lead to life-threatening complications. Your doctor is likely to recommend surgery to fix an inguinal hernia that's painful or enlarging. Inguinal hernia repair is a common surgical procedure.

I've had several on right and left side. They use a mesh to hold all your guts in place...

Good Luck, Good Health and Good Humor.

j-o-h-n Monday 11/11/2019 8:16 PM EST I salute all veterans today and everyday.