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Radiotherapy 20 sessions over 4 weeks any tips

User
Posted 21 Jan 2026 at 15:46

Husband is going for RT in July after 6 months of HT. 20 sessions over 4 weeks. Consultant said best option. He explained why at Oxford they chose not to do the gel pad to screen the bowel. So any tips for best recovery? 

Edited by member 25 Mar 2026 at 11:25  | Reason: Made a mistake in number of weeks

User
Posted 21 Jan 2026 at 17:04
Follow the clinical recommendations to the letter..
User
Posted 22 Jan 2026 at 01:20
RT can lead to urine urgency, so suggest you ascertain where in need he can use a toilet on the way home or if driving home have a suitable receptical in the car. Men experience this to a varying degree.
Barry
User
Posted 22 Jan 2026 at 11:20

Hi there, I started my SRT yesterday and was quite reassured about the practical approach. we live about 15 miles from the unit, South Tees in Middlesbrough, and I was told to call the unit I was due to be treated on about 1 hour before my session time. They would confirm timing was still as planned and I'd then drink around 500 ml water to arrive ready for the session and save hanging about. The main issue yesterday was getting parked.

 

User
Posted 22 Jan 2026 at 14:09

Broomfield 

All the best. Yes it's good if you feel you're in a well oiled machine, not a disjointed mess. 

I think we have a positive attitude because my husband's father had prostate cancer in the 1990s, had radiotherapy,  which did hamper his running a bit with bowel issues, but died over twenty years later aged 92. Husband always felt he might get it too, so it didn't seem like such a thunderbolt. 

User
Posted 22 Jan 2026 at 14:14
Always found it useful to have a wee before I left Radiotherapy Unit so I didn't get taken short on journey home.

On the last few visits I suffered from very loose motions which cleared up a few days after treatment stopped.

One cardinal rule is never trust a trump, always visit the khasi.

Great camaraderie at the Preston Unit despite some of them supporting the team at the wrong end of the M55.

User
Posted 23 Jan 2026 at 12:45

Hi Antoinette,

I've just had 13 out of my 20 sessions, and have posted an update of my experience to date as below

https://community.prostatecanceruk.org/posts/t31816-Slowly-slowly

Best regards

Dave

User
Posted 23 Jan 2026 at 13:01

Originally Posted by: Online Community Member

Thank you, that's useful.  We live in a village outside Oxford and we do say if we need to go to the Churchill it's so good we're quite near. It's about 20 mins. But yes we can put an empty bottle in the car, and I can drive. 

I had a waterproof cover for the seat just as insurance but never needed it. A towel is also handy, again just in case there is a leak. The towel is also useful if he wants to use the bottle in the car and you are stuck in traffic on the Oxford by pass next to a coachload of tourist. Peeing in a bottle while sat in a car seat is not easy , I got a proper urine bottle. Hope all does / has gone well.

Find the the nearest toilet to the treatment room and a back up one in case the nearest is occupied.

Thanks Chris 

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User
Posted 21 Jan 2026 at 17:04
Follow the clinical recommendations to the letter..
User
Posted 21 Jan 2026 at 18:12

He's a 'do things by the book' sort of chap. He'll follow any instruction to the letter I know. 

I saw you need to drink lots of water etc. Hope the side effects aren't too severe 

User
Posted 21 Jan 2026 at 21:03
Good luck to him.

To be honest the radio itself isn't particularly tough, the challenge is having your body in the state they want it - for my trust, bladder half full and rectum empty. I did my best to follow their instructions but there was a fair amount of unpredictability, partly because it obviously depended on the previous patients whether my machine slot came exactly when listed.

There was a definite comeraderie in the waiting area, and while there were patients for multiple types of cancer the prostate boys got to know each other and we all had the similar embarrassing experiences of being rejected while we drank more water, or more difficultly tried to wee just the right amount to suit. (I was lucky not to ever be rejected for a too full rectum, but some had to go and have a mini-enema).

In some ways though it was a breeze for the first three weeks, I cycled to the appointments (hilly 5 mile route), did normal things, and hosted a big family weekend-long party for my 70th birthday. But by the last week I was running out of energy and preferred to drive, and the few weeks following I was similarly drained and needed to collapse into bed really early each day. It didn't last too long though, not much more than a month later my wife and I went on holiday to the Alps and did some reasonable (though slightly cautious) walks.

User
Posted 21 Jan 2026 at 22:40

That's really helpful! It's so nice to have a positive story. The consultant we saw I thought was very good. He is in the Radiotherapy bit,and said if husband agrees we'll see him. I think this is excellent.  

We explained we had a holiday booked and might cancel. He said he didn't think we needed to: husband could have scan session before, then 12 day holiday, and start RT when we get back. 

He'll be going to the Churchill in Oxford and they always give you a mini enema suppository. 

To me, I think my husband's quite fit for 74. He walks several miles at least every other day and whenever possible. He's walked the coast to coast and several other long distance walks. He's always active, chopping wood for our woodburner, the allotment,  which we both do. He used to go running until 2 years ago, when he had a detached retina but now prefers long fast walks. I couldn't bear to see him too wiped out! So here's hoping he gets on as well as you did. 

User
Posted 21 Jan 2026 at 22:47

Originally Posted by: Online Community Member
I saw you need to drink lots of water etc. Hope the side effects aren't too severe

That bit can be tricky. I found it worked best to have a series of moderate drinks of water leading to the treatment, rather than one large one at a set interval. It's also useful to keep to the same routine each day. I tried exercise in the morning before RT and it made life difficult because rehydration to the "correct" level was impossible to judge. 

Like everything else with this, different people, different issues. Some people have no problems achieving and holding their bladder at the right volume.

User
Posted 21 Jan 2026 at 22:55

I think at the Churchill they recommend you keep well hydrated the week before, and they give a certain amount of water to drink, I think it might be 300ml. 

User
Posted 22 Jan 2026 at 01:20
RT can lead to urine urgency, so suggest you ascertain where in need he can use a toilet on the way home or if driving home have a suitable receptical in the car. Men experience this to a varying degree.
Barry
User
Posted 22 Jan 2026 at 06:56

Thank you, that's useful.  We live in a village outside Oxford and we do say if we need to go to the Churchill it's so good we're quite near. It's about 20 mins. But yes we can put an empty bottle in the car, and I can drive. 

User
Posted 22 Jan 2026 at 11:20

Hi there, I started my SRT yesterday and was quite reassured about the practical approach. we live about 15 miles from the unit, South Tees in Middlesbrough, and I was told to call the unit I was due to be treated on about 1 hour before my session time. They would confirm timing was still as planned and I'd then drink around 500 ml water to arrive ready for the session and save hanging about. The main issue yesterday was getting parked.

 

User
Posted 22 Jan 2026 at 14:09

Broomfield 

All the best. Yes it's good if you feel you're in a well oiled machine, not a disjointed mess. 

I think we have a positive attitude because my husband's father had prostate cancer in the 1990s, had radiotherapy,  which did hamper his running a bit with bowel issues, but died over twenty years later aged 92. Husband always felt he might get it too, so it didn't seem like such a thunderbolt. 

User
Posted 22 Jan 2026 at 14:14
Always found it useful to have a wee before I left Radiotherapy Unit so I didn't get taken short on journey home.

On the last few visits I suffered from very loose motions which cleared up a few days after treatment stopped.

One cardinal rule is never trust a trump, always visit the khasi.

Great camaraderie at the Preston Unit despite some of them supporting the team at the wrong end of the M55.

User
Posted 23 Jan 2026 at 12:45

Hi Antoinette,

I've just had 13 out of my 20 sessions, and have posted an update of my experience to date as below

https://community.prostatecanceruk.org/posts/t31816-Slowly-slowly

Best regards

Dave

User
Posted 23 Jan 2026 at 13:01

Originally Posted by: Online Community Member

Thank you, that's useful.  We live in a village outside Oxford and we do say if we need to go to the Churchill it's so good we're quite near. It's about 20 mins. But yes we can put an empty bottle in the car, and I can drive. 

I had a waterproof cover for the seat just as insurance but never needed it. A towel is also handy, again just in case there is a leak. The towel is also useful if he wants to use the bottle in the car and you are stuck in traffic on the Oxford by pass next to a coachload of tourist. Peeing in a bottle while sat in a car seat is not easy , I got a proper urine bottle. Hope all does / has gone well.

Find the the nearest toilet to the treatment room and a back up one in case the nearest is occupied.

Thanks Chris 

User
Posted 23 Mar 2026 at 11:56

Hi Antoinette, 

Just giving you an update as I too am on 6 months hormone therapy and radiotherapy. I had my 20 sessions of EBRT after 10 weeks on the HT and it finished last week. It was in the Northern Ireland Cancer Centre at Belfast City Hospital. I had to change HT drugs after two months due to side effects (more details in a separate post).

I had SpaceOAR gel inserted two weeks before the RT started. I was advised to come in an hour before the RT session each day to start my preparation. On arrival I used a mini enema, which always worked within 15 mins or less. I would then spend the next 10 to 15 mins drinking 500ml of water so that the exact same amount of water remained in my bladder each day. This left approx 30 mins to wait before my session. I followed the exact same pattern every day. 

I dId experience a strong burning sensation in the pelvic area and some nausea on the first few days.  I was told this was unusual. It eased somewhat but I did experience a mild burning sensation every single day for a few hours after treatment. Other than that, the first two weeks went by without any issues. By week 3 I was definitely more tired and by week 4 I was exhausted.  The weekend two-day respite from treatment always helped me reset.

Now one week on from RT, I have some cystitis and bladder issues but have medication which improves it. I will stay on Bicalutamide and Tamofaxin until 1 June. 

Hope this information is useful for your husband.

User
Posted 23 Mar 2026 at 12:19

Hi thank you for that Liam. Sounds like good progress. The info sheet from the Churchill oxford has got very similar info on the Radiotherapy. The consultant we saw said they don't do the gel pads now as they felt it could obstruct things. We were about to cancel a cruise we'd got booked for June, but he suggested having the pre Radiotherapy scan before we go, and booking the Radiotherapy for straight after we get back. 

You just have to go with things ✨️ and cope. So far it's been manageable 

User
Posted 23 Mar 2026 at 12:38

Hi there Antoinette

I completed my 20 treatments just over 3 weeks ago. I was 3 says later than planned finishing - 2 days due to unit downtime and once to me downtime ( too much gas in my bowel to stabilise my all my appropriate bits in the right place). Gas was a not uncommon problem amongst the men waiting for a treatment session. 

The only side effect I've had has been bowel looseness both during the later treatment sessions and afterwards - I've been Imodium free for a week now. Support from radiotherapists was excellent, especially as one was in the same Running Club as me. Almost all of my sessions were on the same machine so there is a good chance to build an understanding with the team. I was given their direct line number to call if I had any questions or issues. As I said earlier, I used to call about an hour before my time, they would confirm whether they were on schedule and when I should drink my 500ml water. This saved lots of time hanging around in the waiting area.

Hope it goes well.

User
Posted 23 Mar 2026 at 12:44

Thank you, that sounds you had a really positive experience. I'm on the forum and pass everything onto him. He's fine with IT and social media, he just wants to get on with things. I've just got a huge urge to do the best for him, so far it's been OK x 

 
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