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Urology (Expert Forum)
bladder cancer surgery/post operative pain
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
bladder cancer surgery/post operative pain
by joyo, Nov 30, 2003 12:00AM
In July ,2003, my dad had bladder cancer surgery. The prostate, bladder, apendix and lymph nodes were removed. Following his release from the hospital, he shortly developed a pain in his left buttock. We have seen the surgeon, 2 orthopedists, an anesthesiologist that injected my Dad with cortisone/steroids in the general area of pain, a neurosurgeon that injected the SI joint and have had an epidural injection, TENS machine,physical therapy, and chiropractic visits. My Dad is taking 30 mg morphine, neuronton,and an anti-deprressant. He is unable to walk or stand. He only feels relief from the pain when lying on his right side . He is basically bed-riddden and gets up only to use a commode next to his bed. He has lost 57 pounds and is very weak.Weight-bearing is excruciating to him. I forgot to mention that he has had X-rays, CT scan, MRI, blood work and a bone scan---allis fine according to the doctors. My dad is 74 years old and says "This is no life-I don't intend to live this way" I am very concerned about his condition and am at my wits end as to what to do next to help my dad get well. I am considering the Mayo Clinic in Rochesster Mn. Can you help my Dad?
Doctor's Answer
by Kevin Pho, MD, Nov 30, 2003 12:00AM
, Nov 30, 2003 12:00AM
There has been a comprehensive workup including MRI, CT scans and multiple referrals.
Going to the Mayo Clinic certainly can't hurt as they are a leading tertiary care medical center.
I would suggest a referral to a pain management specialist (likely a physiatrist - rehabilitation specialist). Current pain management strategies suggest a long acting agents supplemented with shorter acting agents to be used on an as needed basis. Make sure that the morphine used is long acting (i.e. MS-Contin). The dose should be increased such that the pain is tolerable. This approach should be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Going to the Mayo Clinic certainly can't hurt as they are a leading tertiary care medical center.
I would suggest a referral to a pain management specialist (likely a physiatrist - rehabilitation specialist). Current pain management strategies suggest a long acting agents supplemented with shorter acting agents to be used on an as needed basis. Make sure that the morphine used is long acting (i.e. MS-Contin). The dose should be increased such that the pain is tolerable. This approach should be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Member Comments
by lilwe, Dec 03, 2003 12:00AM
To: Bladder Cancer
0
