Hello there

Good morning Mitchy72 and welcome but sorry that you are suffering from the side effects of pelvic radiotherapy and surgery. Ano- rectal pain and incontinence can both have an adverse effect on quality of life so here are some suggestions. It is still early days for you but hopefully things will improve. Please ask any questions and we will try and help.

Are you doing your pelvic floor exercises. The surgery removes one of the sphincters needed to control the bladder so you need to strengthen the one which is left to help you gain more control. Also radiotherapy can irritate the bladder so your doctor can prescribe drugs to calm things down.

Penile rehabilitation is important after surgery and your doctor can advise on drugs to help blood flow to the penis plus some men find that a vacuum pump helps.

For the anal pain many find a donut cushion helps along with the following suggestions.

Management and Prevention Strategies

Proactive care can significantly alleviate discomfort and improve your quality of life during treatment.

1. Pain Management

• Medications:
• Use over-the-counter pain relievers like acetaminophen or prescribed medications as directed by your doctor.
• Topical anesthetic creams or ointments may provide local relief.
• Warm Sitz Baths:
• Soak the affected area in warm water for 10-15 minutes several times a day to reduce pain and promote healing.

2. Bowel Management

• Prevent Constipation:
• Increase dietary fiber gradually with guidance from your healthcare team.
• Stay hydrated by drinking plenty of water.
• Use stool softeners or laxatives if recommended by your doctor.
• Manage Diarrhea:
• Follow a low-residue diet to reduce bowel movements.
• Avoid foods that can irritate the bowels, such as spicy foods, caffeine, and alcohol.
• Antidiarrheal medications may be prescribed if necessary.

3. Gentle Hygiene Practices

• Cleaning:
• Gently clean the area with warm water after bowel movements.
• Use soft, unscented wipes or a peri-bottle to avoid irritation.
• Drying:
• Pat the area dry with a soft towel; avoid rubbing.
• Protective Barriers:
• Apply barrier creams or ointments (e.g., zinc oxide) to protect the skin.