Hello all, I hope all is well with you. Apologies for jumping on this old thread - it was the first one that came up in a search for “prostate brachytherapy cycling” and I would like to add my experience in the hope that it benefits others who are considering RP versus brachytherapy.
I’m a keen runner, cyclist, triathlete and hillwalker. I had brachytherapy in August 2020. This is my progress so far post-op:
Day 0 - operation
Day 1 - managed to drive home but I wouldn’t recommend driving, slept
Day 2 - felt like a hangover, tired and dizzy when walking
Day 8 - gentle 5K jog
Day 9 - hilly 9K run and 1500m sea swim
Day 10 - 5 hour hill walk
Day 17 - 9 hour hill walk
Day 20 - 1.5 hour bike ride on hardtail MTB with soft noseless slotted saddle (ISM Typhoon). Not painful but it was difficult to find a comfortable spot on the saddle and I still had some discomfort a few hours afterwards
Day 21 - 45 mins turbo trainer ride on tri bike with harder slotted saddle. Again, a bit difficult to find a comfortable spot on the saddle when riding on the brake hoods, but no problem when down on the aerobars. Some discomfort for a while afterwards
Day 27 - 1 hour off road ride on full suspension MTB. The normal saddle (fairly soft but not slotted) was too uncomfortable so I had to swap it for a noseless slotted one. Probably won’t be able to use the normal saddle any more.
Day 28 - 2 hour road ride on cyclocross bike with harder noseless slotted saddle, reasonably comfortable
Day 34 - 4 hour road ride on cyclocross bike
Six weeks - CT scan to check placement of radioactive pellets
Ten weeks - ran a marathon at my usual pace
Three months - PSA 1.4 (was 6-7 before the operation), check up with doctor, who seemed happy with my progress so far and suggested I should try stopping Tamsulosin (muscle relaxant to ease urination) for a few days
A friend gave me a doughnut-shaped cushion which made sitting a lot more comfortable in the week after the operation.
Finally, if you’ve had a lot of Achilles problems, tell your doctor before the operation. I was given Ciprofloxacin as a post-op antibiotic and one of its possible side effects is Achilles’ tendon problems. I took the full ten day course, with an accidental double dose on the first day, and noticed soreness around my heels, which was still sore a few weeks after I finished the course.
I hope this helps and good luck to anyone reading this.