Hi all, this one is a little later that I had hoped, but things don't always work the way you want...
Those that have followed my story will recall I started my treatment as everyone else does, Bicaltitude and Prostap. Then I had HDR Brachytherapy on 3 Mar. I was catheterised for that and it was removed the following day. The following story refers to my urinary issues. I had to visit A&E four days later (8 Mar) as I was not able to pee and had a catheter replaced. The doc said remove it in a week. The District Nurses were unhappy at that timescale and refused point blank. They said two weeks. They wanted to TWOC me (try without catheter) on 28 Mar. That was in the middle of my radiotherapy sessions, so it had to stay in until they ended. It was removed on 7 Apr. It went back in 6 hours later because I still couldn't pee and said it needed to stay for 11 weeks because it was the 2nd TWOC I gad failed. I told them this one hurt lije he'll and I was actually peeing down the outside of ut and it was stinging like mad. I asked if they could reposition it ,(no) or remove and replace (no - risk of infection). I protested they had to do something to make it more comfortable but they said nothing they can do, talk to the GP if I was unhappy at the 11 week schedule.
I arranged to do just that and also spoke to the CNSs first (it just happened that way). The CNSs suggested doubling the Tamsulosin and adding ibuprofen. They would talk to the District Nurses and ask for the TWOC to be done in two weeks not 11 and it was removed on 22 Apr, much to the annoyance of the District Nurses. I developed a UTI part way through the last catheter and was given antibiotics that didn't work, so had a second lot that seemed to, but it's back again. Have been back to the GP and I have more Antibiotics. Other than that, which at the time was very frustrating, I've come through the treatment relatively unscathed. I know through my work that some people really struggle and I have nothing to complain about, which is how I planned this right at the start. So I consider myself lucky. All I have to do now us wait for the next scan and then the oncology phone call appointment (set for Jun) to hear the results.
Hello Guern017
Thank you for your update. it's a strange one, the urine problem. As you know we aren't medically trained so it's guess work. It can't be the size of your Prostate - that would have been noticed by the Brachytherapy team. I can't think of anything else.
Anyway, job done and you are recovering so I wish you well moving forward, your next scan might give a clue as to anything causing the urine issues. Keep us posted if you find out.
Best wishes - Brian.
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Hi Brian. Thanks for the good wishes. The consensus of opinion from the consultant who did the HDR brachy is it was swelling from that procedure. She told me that it takes the total of men who have had that much of a reaction to five, out of all he men she has treated, so I'm one of very few. Just how it goes and as I've said, if thats all I suffer with, then I have nothing to complain about.
Ah Guern017 and thus we have the answer. Prostate swells into the urethra, closes the bladder exit and bingo - problem, no urine!
That's just how I got here, prostate grows into urethra, bladder fills up and can't empty, crushes kidneys and tries to kill me. And I ended up with a catheter for 10 months before my TURP operation to "shave" my prostate.
Like you, I get on with life - I do bits on other forums on the Community and I come back here and think "golly, we are the lucky ones".
Best wishes - Brian.
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Yes, that’s what I suspected: swelling from the HDR. It is rare, but HDR stands for high dose radiotherapy, so it can be a shock to the little prostate gland in a few cases. I opted for LDR - low dose rate; this introduces the radiation ️ at a slower rate via the seeds. Ironically, it is a higher dose , but delivered at a lower rate . AW
HIi AW. Because of my job, (Macmillan Benfits Advisor), as I was going through the radiotherapy, I realised that my colleagues would benefit from a trip around the department so when they were talking to clients hearing their story at least they would visualise where they were talking about and so understand that much more. So, I asked if it was possible and we went and had a great time. I saw, and was taken around by one of the radiotherapists who treated me and her greeting was "hello Peter. I didnt recognise you with your clothes on"! One person we saw was the consultant who did he brachy and she explained how its done. As you say, the LDR is a higher dose, given over a longer timescale, with the grain of rice sized material put in specific places. The HDR is given through numerous needles inserted into the prostate all at the same time and the radioactive material is fed down those individually, for specific lengths of time so each part that needs treating gets a very tightly calculated dose. How those needles are held in place is through a block with holes drilled through. Each row is numbered, each column is alphabetical and in her words, they play "Battleships", determining where to put the needles! It was a very educational visit and whilst I knew it as a patient, seeing it as a member of staff does was something so different!
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