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Radiotherapy and rectal spacer

User
Posted 18 Nov 2025 at 08:44

Diagnosed 3 years ago. Been on Active Surveillance since then. Hospital now concerned about latest PSA tests so suggesting Radiotherapy may be needed. Concerned about side  effects but my question relates to the procedure they suggest first - Rectal Spacer which reduces chances of bowel damage. Anyone had this procedure. Sounds unpleasant and I would need to stop taking Warfarin for several days. On this for Atrial Fibrillation. Frankly I am more concerned about stroke risk by stopping Warfarin than prostate cancer. Any input on rectal spacer useful please.

User
Posted 18 Nov 2025 at 09:53

Hi,

I had one fitted around this time last year, around three weeks before starting radiotherapy. It's a very similar to how the biopsy felt. Local anesthetic, ultra sound in back passage, needle in perineum.

It was over a lot quicker than the biopsy and I went back to work afterwards. Obviously not the most pleasant experience but I didn't mind it too much, plus anything to reduce damage to surrounding tissue sounded good to me!

I'm just under a year on from EBRT/Brachytherapy and bowels feel pretty much normal, no urgency, no issues to speak of. I did have some side effects during, nothing major. Things felt looser and there is a clear mucus that you get caused by irritation to the bowel. This cleared up a couple of months after with the odd slight re-occurrence. Nothing recently though

How much difference the spacer made I'll never know for sure, but very happy I took them up on the offer.

All the best

John

P.S. I'm sure they said it reduces exposure to radiation by around 70% or something like that

Edited by member 18 Nov 2025 at 10:09  | Reason: extra info

User
Posted 20 Nov 2025 at 08:16

Hi Davey,

 

I think it's quite hit and miss as to what hospitals offer it. In my case it was the surgeon who mentioned it rather than the radiotherapist. I then asked about it when I decided to go that route rather than RALP.

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User
Posted 18 Nov 2025 at 09:53

Hi,

I had one fitted around this time last year, around three weeks before starting radiotherapy. It's a very similar to how the biopsy felt. Local anesthetic, ultra sound in back passage, needle in perineum.

It was over a lot quicker than the biopsy and I went back to work afterwards. Obviously not the most pleasant experience but I didn't mind it too much, plus anything to reduce damage to surrounding tissue sounded good to me!

I'm just under a year on from EBRT/Brachytherapy and bowels feel pretty much normal, no urgency, no issues to speak of. I did have some side effects during, nothing major. Things felt looser and there is a clear mucus that you get caused by irritation to the bowel. This cleared up a couple of months after with the odd slight re-occurrence. Nothing recently though

How much difference the spacer made I'll never know for sure, but very happy I took them up on the offer.

All the best

John

P.S. I'm sure they said it reduces exposure to radiation by around 70% or something like that

Edited by member 18 Nov 2025 at 10:09  | Reason: extra info

User
Posted 19 Nov 2025 at 17:56

I start radiotherapy in January at my local NHS trust. There’s been no mention of a rectal spacer.  I wonder why?

User
Posted 20 Nov 2025 at 08:16

Hi Davey,

 

I think it's quite hit and miss as to what hospitals offer it. In my case it was the surgeon who mentioned it rather than the radiotherapist. I then asked about it when I decided to go that route rather than RALP.

User
Posted 20 Nov 2025 at 19:51

Hi, I'm starting radiotherapy next Wednesday, and they haven't suggested or mentioned a spacer. I had a planning scan a couple of weeks ago and had to do the same procedure for that as I'll have to do each day for the radiotherapy. Ie empty bowel (enema each day) and full bladder. Apparently this routine moves the bowel and bladder further away from the radiation area but they said there will still be some overlap.

User
Posted 21 Nov 2025 at 08:11

Hi Neil

Yep, also helps to give a consistent target for the radiotherapy.

 
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