I had SABR treatment in early August. I would like to report, for the benefit of people looking forward to this, that the side effects have been pretty much as predicted in terms of the nature, severity, and duration.
The most noticeable one affected urination, and it peaked about a week and a half after the last session. And then, within a couple of days, things were almost back to normal in that department.
Bowel function was slightly disturbed, but there was no constipation or diarrhoea. While the front end was at its peak, I learnt that I should not trust a fart . This was a tiny problem as opposed to a large problem, if you get my drift. Thankfully all that also returned to normal quite quickly and now everything is as it once was.
As for tiredness, I noticed after the first session I was extremely tired that evening, but then after other sessions, there was no noticeable immediate effect. In the weeks that have followed, I think it's fair to say that I feel more fatigued than I did before radiotherapy, and this is to be expected since I am still affected by the ADT. But then I'm sort of getting used to it now so it's not as much of a deal as it was 5 months ago.
If it hadn't been for the stinking cold that I am putting up with at this moment, I would have said that everything is great and I'm back at work and what have you. However, while the cold is uncomfortable, one thing it has taught me is that my immune system is perfectly capable of elevating my body temperature to fight off a viral infection. So, there's some good news hidden somewhere in there.
No need to reply to this, just as long as it's out there so that somebody who is thinking about SABR can get a feel for the easily survivable and tolerable side effects. I won't deny that it was uncomfortable for a couple of days, but that was a negligible price to pay for zapping that little invader into oblivion.
Love to you all,
LemSip
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Thanks very much for posting your update Lemsip, these posts are extremely useful to those considering or about to have similar treatments, and interesting to those of us who aren't.
I hope the cold gets better soon, are you taking Lemsip for it?
All the best, Derek.

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Hi Lemsip
Thanks for the info, i'm just waiting for a date now. Had the set up scan etc. If you don't mind answering, can I ask what your target area was? mine is L1 spine. My hospital hasn't performed SABR treatment in this area before so they are being extra cautious.
Hope your cold is better
Hello boatman.
Mine was the prostate gland, the walnut sized blob at the bottom of the bladder. Because of its proximity to the bowel and bladder, and because the urethra passes right through it, it had a temporary adverse effect on my toilet habits.
I read up on the technology and it is amazing. The planning scan builds a 3D model of the target.
Then, the team makes sure you're positioned so that the target is right in the centre of rotation of the machine. each emitter fires beams through a window that changes shape as it rotated around you, so that, at any moment, the beam matches the silhouette the target, as it looked from that direction. This protects surrounding tissues from radiation.
If you're into engineering marvels, look up the Multileaf_collimator on Wikipedia.
Hi lemsip im glad your SABR treatment went well mine also went well but the hormone therapy hit me like a tone of bricks as for side affects after SABR again sudden urges to wee still get it now when running a tap and I’m nearly 24 months post treatment and in remission the biggest issue for me post treatment is my little man isn’t working so well been given all sorts of tablets which have been very intermittent but after being discharged from oncology to urology is where it’s failed you only get a phone call twice a year never a face to face and still waiting to get injections next call is November to chat about my psa results which have been steady at 0.02.
good luck with your recovery
David, I'm sorry to read about what you're going through so long after your radiotherapy.
The general fatigue is 24/7 and I can't cure it by sleeping. I am kind of starting to get used to it, but I hope that once this ADT injection has worn off, I will start to feel well again.
I'm sorry to hear that you're still affected two years down the line. I can't really comment on "that" side of things for myself because not only am I not interested for now, but neither is Mrs Lemsip, also for hormonal reasons.
While the painful part of the SABR side effect is definitely finished, I do notice that the urge to pee comes omore quickly than it used to. Again, it's too early to say whether this is permanent because I am still getting over the radio and have been advised that it could take a couple more months.
If you are still having problems after two years though, that doesn't sound right. If you have written about it on this forum, please point me to it.I would like to know what the longer term effects are even if only as they apply to you.
All the best
Hi lemsip the fatigue will continue for a while and also the hot flushes my fatigue side of things has now almost gone good days and bad days but i kept pushing myself but as i said the urology part has been a let down even after telling them about the Suden urge to pee all i got well it could be systitus and that was it nothing more they said i could have an implant for my ED but i don’t want that i have spoken to my doctor about it and all he said that there is a referral actioned but it’s going to be at least a year before i see a consultant which isn’t good enough really during my radiotherapy i was taken care of by Portsmouth QE2 hospital and i can’t praise them enough but now im under Chichester hospital and hit the brick wall anyway it does get better as time goes on and when you see your figures come down the positive feelings come back.
Dave
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