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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pelvic Pain After Undergoing Re-section Of Rectal Carcinoma?

46-year-old female, 5'6", 9 stones; diagnosed with rectal carncinoma Dec 2010. Otherwise 100% fit and healthy!

I had a low anterior re-section 2 weeks ago to remove a tumor and have an illeostomy. I made good progress and was discharged from hospital a week ago. I have been taking up to 8 co-codamol tablets a day. Yesterday my temperature went up to 38.7C and my GP prescribed Macrodantin for a suspected urine infection. my temperature has lowered but my skin is so sensitive it hurts to have clothing against it, I also have severe aches in almost every joint and a deep ache in my pelvic floor area which I assume could be due to the surgery. Should I go back to my GP or continue with the medication?
Mon, 4 May 2015
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Radiologist 's  Response
Hi,
Thanks for writing in.

Cancer surgery like anterior resection is a complex procedure and involves manipulation of the bowel and nerves. Even after successful surgery, it is possible that some patients continue to experience pain in floor of pelvis and radiation to legs. This is because the nerve supply to legs is from the lower back part of spinal cord and these nerves pass through the pelvis and continue in to the legs.

Any pinching of the nerves along their course and irritation of nerve fibers will cause pain and discomfort. After surgery wound healing also occurs and nerve fibers manipulated during the surgery require time to heal. Once healing takes place, scarring of tissue occurs which can cause nerve irritation and perception of pan in pelvic floor and legs. Please do not worry.
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What Causes Pelvic Pain After Undergoing Re-section Of Rectal Carcinoma?

Hi, Thanks for writing in. Cancer surgery like anterior resection is a complex procedure and involves manipulation of the bowel and nerves. Even after successful surgery, it is possible that some patients continue to experience pain in floor of pelvis and radiation to legs. This is because the nerve supply to legs is from the lower back part of spinal cord and these nerves pass through the pelvis and continue in to the legs. Any pinching of the nerves along their course and irritation of nerve fibers will cause pain and discomfort. After surgery wound healing also occurs and nerve fibers manipulated during the surgery require time to heal. Once healing takes place, scarring of tissue occurs which can cause nerve irritation and perception of pan in pelvic floor and legs. Please do not worry.