Brachytherapy - Side Effects

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Hi,

Hope everyone is has had a good week - newbie here.

I am posting on behalf of my dad. 

He had radiotherapy and brachytherapy last year. The whole treatment ended at the start of March 2025 and he has been on hormone injections since. 

Ever since the radiotherapy he has had urinary problems but it seems to have gotten a lot worse the past few months and it feels like we cant get any help.

He has regular calls with nurses but they cant prescribe him anything and tell him to call his GP. Everytime we call the GP we get put on a 2-3week waiting list to see a doctor. He eventually managed to get an appointment a few weeks back and was prescribed Solifenacin Succinate - this has made everything worse. (He was previously on Tamsulosin for 6 months but that didn't do much). 

For the most part he isn't in pain throughout the day, its just when he wees but it then lingers for about 30mins and its so painful that he buckles over. He describes it has a stinging feeling and it happens "inside" and its when he first starts peeing. 

He also has spurts of needing to wee, he will be desperate to go and he will go, he will go again 5 mins later (and he will go) and then he feels like he needs to go again about 10mins later but can't. When that feeling goes away he is okay but while that process is happening his is in a lot of discomfort.

He has another GP appointment on the 24th and a face to face Oncology appointment on the 28th April so hoping to get help then as he hasnt had a face to face oncology appointment in ages! In the mean time has anyone got any advice or tips and tricks on what he can do or take to help take the edge off of the sting as its really effecting both his physical and mental health. 

I should add that he does uti tests nearly every 2 weeks and they all come back clear. 

PSA is also currently good (still on the hormone injections).

Feel like he needs a thorough MOT by urology but until we can get that appointment we would be really appreciative of any advice or tips and tricks to try at home in the mean time.

Thank you in advance.