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New member 6 months post brachytherapy

User
Posted 21 Oct 2026 at 13:03

I am 6 months post brachytherapy treatment, I have had PSA blood test which shows a drop from 11 to 2.4 which is obviously encouraging. 
However my urinary conditions have become a life changer, prior to my brachytherapy surgery I would say I had normal urinary lifestyle but now I deal with weak flow and frequent wee’s during the day without too many issues however during the night time I wake and wee every hour which leaves me exhausted and in a terrible mental health state. 


I wish I had not had the  brachytherapy surgery and taken my chance because I have no quality of life. 

During my only post op meeting with the Oncologist I was more or less told this is the norm and get on with it ! 


can anyone tell me if this is the norm or do things improve, I read a lot about herbal medication online but it screams out to be all fake and scams, I feel that the prescribed Tamsulosin is doing nothing to help.  


 

User
Posted 21 Oct 2026 at 14:58

Hello Steve,


Sorry you find your self with side effects from your brachytherapy treatment and a not very understanding oncologist to say the least!


Your issues could possibly be a urethral stricture caused by scar tissue from the radiotherapy. The consent form I signed for my HDR brachytherapy op said there was a 1in 10 chance of this happening. I found some slight issues though in my case the tamsulosin was enough to alleviate them


There are other things that can be done, such as regular self catheterisation or there are further operations that can be done depending where the stricture is. 


I'd ask again or see if you can get a second opinion around what can be done and if a stricture could indeed be the cause.


 


All the best


John

 
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