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MR Linac RT

User
Posted 29 Jul 2026 at 16:09

First time post, please be gentle! I’m 58, still working!

diagnosed with “Fred” late May 26, stage t2cN0m0, PSA 8.2, biopsy showed both sides, with overall 3+4, but one core out of 20 showed 3+4 ? Focal 5. 

finally been offered MR Linac SABR treatment, no hormone therapy (at the moment)

Has anyone had MRL RT? How was it? And the big question - what is life like post treatment? 

All the “glossy brochures” show people smiling, playing tennis and taking long walks on the beach. So interested in what real life is like. And I can’t play tennis before, so that’ll be a new skill!

 

 

User
Posted 31 Jul 2026 at 14:36

Originally Posted by: Online Community Member

First time post, please be gentle! I’m 58, still working!

diagnosed with “Fred” late May 26, stage t2cN0m0, PSA 8.2, biopsy showed both sides, with overall 3+4, but one core out of 20 showed 3+4 ? Focal 5. 

finally been offered MR Linac SABR treatment, no hormone therapy (at the moment)

Has anyone had MRL RT? How was it? And the big question - what is life like post treatment? 

All the “glossy brochures” show people smiling, playing tennis and taking long walks on the beach. So interested in what real life is like. And I can’t play tennis before, so that’ll be a new skill!

Hi,

I received radiotherapy treatment via MR Linac in 2023, aged 66, with hormone therapy (Prostap). I was advised the Prostap was to reduce my PSA level prior to radiotherapy – although my score was never above 5.

I kept notes for follow up appointments which I've summarised for you below.

I had no real issues with the treatment and found it easy to lie in the scanner and stay still for 45-55 minutes each time, listening to the radio on the headphones provided. I was only asked to drink one cup of water prior to each treatment so I never felt that I needed a pee during a session.

My bowels were a bit loose from the day after the first session until around 10 days after the final session but easy to cope with. The treatment also caused a stinging sensation when urinating but it was never too painful to cope with. I also found myself needing to get up around 4 times a night to pee – rather than my usual once a night.

I was reassured by the medics and told that this was all quite normal. My urine flow gradually improved over the following 6-9 months but it was never a major concern and I didn’t need to take medication at any stage. I’m now back to getting up just once in the night.

The treatment didn’t cause any major fatigue and I was able to carry on with my usual daily walks of 4 or 5 miles throughout.

In the ‘Sports’ department, everything is the same as before except that orgasms are now dry – but the sensation still feels as good as it always has – so I have no need to take up tennis instead!!

My PSA now seems to have settled at 0.4 and my consultant is happy.

I’d certainly recommend the MR Linac but I appreciate it may only be available privately in many cases.

I hope the above is of some help and that you’ll soon be rid of ‘Fred’.

Any questions, just ask – or drop me a private message.

D.

User
Posted 29 Jul 2026 at 18:28

Hello, mate.

I'm sorry you've had to join our club, but welcome to the forum.

As SABR is a relatively new treatment I cant recall many reporting their experiences of it. Here's a conversation on it.

https://community.prostatecanceruk.org/posts/t30015-Experience-with-SABR

I believe one of our very knowlegeable posters, Andy62, who works with a lot of support groups, recently reported many men are now opting for SABR, and they found they had minimal side effects.

I hope this helps a little and good luck. 👍

 

User
Posted 29 Jul 2026 at 18:36

Thank you Adrian, appreciate your reply.

Hope you are doing well too.

User
Posted 29 Jul 2026 at 20:11

I'm fine thanks, mate.

I've managed to find another thread that I started on SABR

https://community.prostatecanceruk.org/posts/t33495-SABR-SBRT#post316409

Andy62's post that I refered to earlier is on it.

User
Posted 29 Jul 2026 at 20:19

Thank you so much again Adrian.

Also great that your PSA is showing really good signs.! Long may it continue.

User
Posted 30 Jul 2026 at 16:28

Originally Posted by: Online Community Member

First time post, please be gentle! I’m 58, still working!

diagnosed with “Fred” late May 26, stage t2cN0m0, PSA 8.2, biopsy showed both sides, with overall 3+4, but one core out of 20 showed 3+4 ? Focal 5. 

finally been offered MR Linac SABR treatment, no hormone therapy (at the moment)

Has anyone had MRL RT? How was it? And the big question - what is life like post treatment? 

All the “glossy brochures” show people smiling, playing tennis and taking long walks on the beach. So interested in what real life is like. And I can’t play tennis before, so that’ll be a new skill!

 

 

Hi,

Yes I had MR Linac SABR treatment with no hormone therapy, I finished it at the end of Feb. 

I found the 5 sessions a little difficult because I'm not keen on confined spaces and you're in there for up to an hour with a full bladder. But if you're ok on an MRI you will sail through it. 

Post treatment, the first week was like peeing out glass, restricted flow and very painful. Tamsulosin sorted that out very quickly. An occasional bit of fatigue.

6 months on, I'm having no side effects at all to the treatment.

I've done a few runs up to six miles and walked up Mount Snowden but no tennis.

Any questions just ask

Paul

(56 and still working unfortunately)

 

User
Posted 30 Jul 2026 at 17:58

Originally Posted by: Online Community Member

Hi Paul,

Thank you for sharing. Apart from the shards of glass bit, sounds very encouraging.

Glad to hear you are returning to normal life, hope your recovery continues in the right direction. 

There is a train to get to the top of Snowden, but I guess defeats the objective!

May I ask how your PSA is trending?

thanks again

Matt

 

Hi Matt,

My initial PSA was 7.49, 3 months after treatment is was 2.2, and I've just had another one at 2.0

Cheers 

Paul

 

 

 

User
Posted 31 Jul 2026 at 22:19

Hi,

 

I have had the 5 day version of RT.

 

I had a starting PSA of 17, and a T2b/c diagnosis. I had opted for RT as the primary treatment.  ( The uncertainty around the T2b/c edge conditions was one- but not the only- factor in choosing RT). It would have been the standard 20 day job, but the local radio team was unable to get a consistently clean shot at the target, so I switched (privately) to the Top Gun, 5 day, MRI guided machine. 

 

The treatment was a breeze. There were only a couple of days afterwards when I didn't stray too far from a loo . But that was it. The advantages are those you would expect: significantly shorter treatment, and the prospect of a more accurate hit.  No significant tiredness or discomfort.

Has it worked?  All you can ever say is : so far so good. I am just over 4 years post treatment, with a still negligible PSA, so it's : so far so good. Would I do it again? Yes. 

 

Best of luck with whatever you decide to do

Show Most Thanked Posts
User
Posted 29 Jul 2026 at 18:28

Hello, mate.

I'm sorry you've had to join our club, but welcome to the forum.

As SABR is a relatively new treatment I cant recall many reporting their experiences of it. Here's a conversation on it.

https://community.prostatecanceruk.org/posts/t30015-Experience-with-SABR

I believe one of our very knowlegeable posters, Andy62, who works with a lot of support groups, recently reported many men are now opting for SABR, and they found they had minimal side effects.

I hope this helps a little and good luck. 👍

 

User
Posted 29 Jul 2026 at 18:36

Thank you Adrian, appreciate your reply.

Hope you are doing well too.

User
Posted 29 Jul 2026 at 20:11

I'm fine thanks, mate.

I've managed to find another thread that I started on SABR

https://community.prostatecanceruk.org/posts/t33495-SABR-SBRT#post316409

Andy62's post that I refered to earlier is on it.

User
Posted 29 Jul 2026 at 20:19

Thank you so much again Adrian.

Also great that your PSA is showing really good signs.! Long may it continue.

User
Posted 30 Jul 2026 at 16:28

Originally Posted by: Online Community Member

First time post, please be gentle! I’m 58, still working!

diagnosed with “Fred” late May 26, stage t2cN0m0, PSA 8.2, biopsy showed both sides, with overall 3+4, but one core out of 20 showed 3+4 ? Focal 5. 

finally been offered MR Linac SABR treatment, no hormone therapy (at the moment)

Has anyone had MRL RT? How was it? And the big question - what is life like post treatment? 

All the “glossy brochures” show people smiling, playing tennis and taking long walks on the beach. So interested in what real life is like. And I can’t play tennis before, so that’ll be a new skill!

 

 

Hi,

Yes I had MR Linac SABR treatment with no hormone therapy, I finished it at the end of Feb. 

I found the 5 sessions a little difficult because I'm not keen on confined spaces and you're in there for up to an hour with a full bladder. But if you're ok on an MRI you will sail through it. 

Post treatment, the first week was like peeing out glass, restricted flow and very painful. Tamsulosin sorted that out very quickly. An occasional bit of fatigue.

6 months on, I'm having no side effects at all to the treatment.

I've done a few runs up to six miles and walked up Mount Snowden but no tennis.

Any questions just ask

Paul

(56 and still working unfortunately)

 

User
Posted 30 Jul 2026 at 17:43

Hi Paul,

Thank you for sharing. Apart from the shards of glass bit, sounds very encouraging.

Glad to hear you are returning to normal life, hope your recovery continues in the right direction. 

There is a train to get to the top of Snowden, but I guess defeats the objective!

May I ask how your PSA is trending?

thanks again

Matt

 

User
Posted 30 Jul 2026 at 17:58

Originally Posted by: Online Community Member

Hi Paul,

Thank you for sharing. Apart from the shards of glass bit, sounds very encouraging.

Glad to hear you are returning to normal life, hope your recovery continues in the right direction. 

There is a train to get to the top of Snowden, but I guess defeats the objective!

May I ask how your PSA is trending?

thanks again

Matt

 

Hi Matt,

My initial PSA was 7.49, 3 months after treatment is was 2.2, and I've just had another one at 2.0

Cheers 

Paul

 

 

 

User
Posted 30 Jul 2026 at 18:17

Hi Paul,

That’s really great news, and very useful to know. I’ll be entering into battle with the CAA at some point, they are obsessed with PSA.

It’s never too late to start tennis. 
cheers

Matt

 

User
Posted 30 Jul 2026 at 21:39

Originally Posted by: Online Community Member

Hi Paul,

That’s really great news, and very useful to know. I’ll be entering into battle with the CAA at some point, they are obsessed with PSA.

It’s never too late to start tennis. 
cheers

Matt

 

Good luck with that, it looks like they take it very seriously, are you grounded atm? 

Maybe I'll take a look at tennis lol

Cheers

Paul

User
Posted 30 Jul 2026 at 21:47

Afraid so. Minimum of 4 weeks post final treatment. And with zero symptoms especially fatigue. Can’t argue with that logic.

I can recommend Pen-Y-Fan in south Wales too to add to the mountain list.

hope your recovery continues well, and thank you for the positive news!

cheers

Matt

 

User
Posted 31 Jul 2026 at 14:36

Originally Posted by: Online Community Member

First time post, please be gentle! I’m 58, still working!

diagnosed with “Fred” late May 26, stage t2cN0m0, PSA 8.2, biopsy showed both sides, with overall 3+4, but one core out of 20 showed 3+4 ? Focal 5. 

finally been offered MR Linac SABR treatment, no hormone therapy (at the moment)

Has anyone had MRL RT? How was it? And the big question - what is life like post treatment? 

All the “glossy brochures” show people smiling, playing tennis and taking long walks on the beach. So interested in what real life is like. And I can’t play tennis before, so that’ll be a new skill!

Hi,

I received radiotherapy treatment via MR Linac in 2023, aged 66, with hormone therapy (Prostap). I was advised the Prostap was to reduce my PSA level prior to radiotherapy – although my score was never above 5.

I kept notes for follow up appointments which I've summarised for you below.

I had no real issues with the treatment and found it easy to lie in the scanner and stay still for 45-55 minutes each time, listening to the radio on the headphones provided. I was only asked to drink one cup of water prior to each treatment so I never felt that I needed a pee during a session.

My bowels were a bit loose from the day after the first session until around 10 days after the final session but easy to cope with. The treatment also caused a stinging sensation when urinating but it was never too painful to cope with. I also found myself needing to get up around 4 times a night to pee – rather than my usual once a night.

I was reassured by the medics and told that this was all quite normal. My urine flow gradually improved over the following 6-9 months but it was never a major concern and I didn’t need to take medication at any stage. I’m now back to getting up just once in the night.

The treatment didn’t cause any major fatigue and I was able to carry on with my usual daily walks of 4 or 5 miles throughout.

In the ‘Sports’ department, everything is the same as before except that orgasms are now dry – but the sensation still feels as good as it always has – so I have no need to take up tennis instead!!

My PSA now seems to have settled at 0.4 and my consultant is happy.

I’d certainly recommend the MR Linac but I appreciate it may only be available privately in many cases.

I hope the above is of some help and that you’ll soon be rid of ‘Fred’.

Any questions, just ask – or drop me a private message.

D.

User
Posted 31 Jul 2026 at 22:19

Hi,

 

I have had the 5 day version of RT.

 

I had a starting PSA of 17, and a T2b/c diagnosis. I had opted for RT as the primary treatment.  ( The uncertainty around the T2b/c edge conditions was one- but not the only- factor in choosing RT). It would have been the standard 20 day job, but the local radio team was unable to get a consistently clean shot at the target, so I switched (privately) to the Top Gun, 5 day, MRI guided machine. 

 

The treatment was a breeze. There were only a couple of days afterwards when I didn't stray too far from a loo . But that was it. The advantages are those you would expect: significantly shorter treatment, and the prospect of a more accurate hit.  No significant tiredness or discomfort.

Has it worked?  All you can ever say is : so far so good. I am just over 4 years post treatment, with a still negligible PSA, so it's : so far so good. Would I do it again? Yes. 

 

Best of luck with whatever you decide to do

 
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