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Possible biochemical recurrence.

User
Posted 09 Dec 2022 at 18:08

Piers, I'm glad to hear you have got it sorted with you bladder fill level. I was prescribed Solifenacin which helped with easing the bladder urgency but it was still difficult to control. I'm now seven weeks post RT and things are gradually settling down. I can hold a fuller bladder but it's not yet back to pre RT capacity and I need to get up at least twice a night for a pee compared to the usual once. I'm still suffering from some bowel urgency as well. The lesson I have learned is go when you think you need to go. If you leave it until you know you need to go then you have just a ten second fuse to do something about it. Hopefully it will settle down in time. Chris

User
Posted 09 Dec 2022 at 23:00
Glad you're getting there. My experience (salvage RT) were that the therapeutic radiographers were very much on the patient's side during what they know is a stressful experience. And they seem to have encouraged the other professionals to agree a workable solution in your case.

Everyone else with PC I spoke to in the radiotherapy area had similar problems with bladder (and/or rectum) fullness. The staff know that and didn't make it an issue. You will get through!

User
Posted 15 Dec 2022 at 18:17

 

Tomorrow's EBRT will see me with more fractions completed than I have left to go. I might throw a small party.

This is not what I thought. I did some research online and formed the opinion that it was going to be a minor inconvenience for 6.5 weeks, but no more. Turn up each day, chat to the nurses, have a coffee and my treatment and go home. I might endure some slightly loose stools, but that would be it.

So far, the reality has been significantly less fun. Today's treatment was quite painful as my bladder rapidly filled. In fact, I had to get off the table initially to "let a bit out". By the time the session was over I nearly leapt from the table at full height to get to the toilet.

I think my bladder has scar tissue from the RP and it is just not flexible. It has gone from being a balloon to being a freezer bag, with little flexibility.

I have started getting some rectal inflammation too. It is quite uncomfortable to sit down at times.

So, my conclusion is that I am either experiencing something worse than most other people, the accounts online are underplayed or I am a monumental wuss. I am prepared to accept any of the above explanations!

 

 

 

 

 

User
Posted 15 Dec 2022 at 20:34

Originally Posted by: Online Community Member
This is not what I thought. I did some research online and formed the opinion that it was going to be a minor inconvenience for 6.5 weeks, but no more.

Deceptive advertising I'd say. I had similar difficulties, including only just hanging on several times and at the same time having my body tensed up and as rigid as a board with the effort. The radiographers seemed to be able to pick up on it from their remote monitoring screens and I too pulled out once. I got the impression from the nurses that losing it was not infrequent. I had a mental crash one day and just couldn't bring myself to go in there for the session. They just added one to the end, so there's no relief. Feels better if you get a few days in a row that work reasonably well. Feels worse if you have a few tough days in succession.

You're perfectly normal 🤣

Jules

User
Posted 15 Dec 2022 at 22:05

Piers. It sounds like you might be suffering from radiation proctitis. It certainly made my bowel movements a real PITA. Mine started about mid way through the sessions and I was given Proctosedyl suppositories to take. They did ease the symptoms a bit but it seemed to sort itself out in the latter sessions. I hope yours does.

User
Posted 16 Dec 2022 at 08:19

 

 

Originally Posted by: Online Community Member

Originally Posted by: Online Community Member
This is not what I thought. I did some research online and formed the opinion that it was going to be a minor inconvenience for 6.5 weeks, but no more.

Deceptive advertising I'd say.

 

I may write a strongly worded letter to the advertising standards people! It seems to me that medics aren't always entirely honest about pain, but am learning the code:

Painless = this will sting a bit.

Virtually painless = this will really smart.

Mild discomfort = this will hurt. A lot.

Discomfort = brace yourself, you won't like this, and probably won't forget in a hurry what I am about to do.

Uncomfortable = the most pain you have ever experienced.

Minor pain = you will be pleading for death.

 

 

 

 

User
Posted 16 Dec 2022 at 19:19
Yeah always remember the sadistic b****** with an ultrasound probe up my ass telling me the pneumatic drill he was using for a biopsy would feel like being flicked with an elastic band!
User
Posted 16 Dec 2022 at 19:49

Originally Posted by: Online Community Member
Yeah always remember the sadistic b****** with an ultrasound probe up my ass telling me the pneumatic drill he was using for a biopsy would feel like being flicked with an elastic band!

 

Ah, you see, I was smart where the biopsy was concerned. I knew what they were going to do, so instead had an MRI and later a transperineal biopsy. Much safer you see....until it gave me sepsis and I nearly died.

In other news, today's EBRT was painless. I suspect that I wasn't nearly full enough, judging by what I could pee out afterwards. Either volume isn't as important as they have said, or they went ahead without my bladder being full.

An entire week next week of EBRT and then a few days off for Christmas. By which time I will have only 11 sessions left to endure. However the radiographer reminded me that side effects worsen towards the end.

 

User
Posted 17 Dec 2022 at 16:02

Did anyone here, who underwent EBRT, suffer with memory issues? In the past week, I have become mentally hopeless.

I lost my credit card - I never lose my credit card.

I ordered two of my son's Christmas present.

I have complained to two retailers about items that have not arrived, only to find them neatly put away in my office. I have no recollection of receiving them.

I had a tradesman at our property this morning. I made and delivered him a cup of tea and then had no recollection whatsoever of doing so.

I am wondering if it is the treatment, or whether I am becoming senile!

 

User
Posted 17 Dec 2022 at 16:29

Piers, nothing like that during my salvage RT, I didn't have HT. Could it be your anti anxiety meds.

Thanks Chris 

User
Posted 17 Dec 2022 at 18:13

Originally Posted by: Online Community Member

Piers, nothing like that during my salvage RT, I didn't have HT. Could it be your anti anxiety meds.

Thanks Chris 

 

I've only been taking them immediately prior to EBRT sessions. But I suppose it could be linked.

User
Posted 17 Dec 2022 at 18:28

I was on Sertraline for anxiety when I was first diagnosed. Played havoc with my memory!

Best wishes,

Chris

Edited by member 17 Dec 2022 at 18:32  | Reason: Not specified

User
Posted 18 Dec 2022 at 16:53

Thanks Chris,

Moderator(s), can you please split this conversation?

Thanks,

Peter 

User
Posted 19 Dec 2022 at 14:45

Hi Peter,

As requested we have split your post.

https://community.prostatecanceruk.org/posts/t28848-New-to-this-site--anyone-has-an-idea-of-what-is-going-on-here

Best wishes,

Carol
Digital Manager
Prostate Cancer UK

 

 

User
Posted 21 Dec 2022 at 11:47

 

 

This really isn't going terribly well.

 

Yesterday I was booked in for an afternoon slot, but one of the radiographers called me at midday to ask where I was. I said that my appointment wasn't till the afternoon, but they said it had been moved, because I was the only patient left for the day.

 

It turns out that I, their secretary and the radiographers all had a different time for my appointment!

 

I went to some lengths to move my day around and got there within an hour, only to be met with one particular radiographer who was clearly fuming because they had been unable to leave early. 

 

Because I had been called in at short notice I was not sufficiently hydrated and was on the table for half an hour or so. They did the treatment, but my bladder was not full. Which causes me concern. I am not sure if it is connected, but I have bad diarrhoea today

 

As I left the building, the radiographer was speeding out of the car park.

 

I rather wish I hadn't agreed to help them out by attending early!

 

I have to say that I don't feel particularly safe at present. Does anyone know whether a single incidence of insufficient bladder volume is likely to cause issues?

 

 

 

 

 

User
Posted 21 Dec 2022 at 11:54
Put your concerns in writing to the hospital.. I doubt anyone on here is technical enough to answer that.

On a positive note though none of the fractions on their own should be sufficient to do permanent damage (I believe)

User
Posted 21 Dec 2022 at 13:40

Originally Posted by: Online Community Member
I have to say that I don't feel particularly safe at present. Does anyone know whether a single incidence of insufficient bladder volume is likely to cause issues?

If the bladder wasn't full enough to have the treatment safely, they would not have gone ahead with it.  

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 21 Dec 2022 at 18:18

Piers , on several occasions my bladder was completely empty because I had left my catheter drain tap open, I never had any of my 33 sessions stopped for any reason. My treatment was over five years ago and I don't know to what level I was scanned or what they can actually see. I was diagnosed with radiation cystitis and my bladder has been damaged, but the numerous excursions into the urethra frequent urethra catheters and a suprapubic catheter may have made matters worse .I also had issues with surgical clips. 

I found out after treatment that 5-10 percent of people who have pelvic radiation treatment suffer with radiation cystitis, usually it calms down. Your bladder may had sufficient for the scan to go ahead anyway. I would hope medical staff are professional enough not to cut corners and take risks.

Thanks Chris 

 

 

 

User
Posted 21 Dec 2022 at 19:35

Originally Posted by: Online Community Member

I found out after treatment that 5-10 percent of people who have pelvic radiation treatment suffer with radiation cystitis, usually it calms down. Your bladder may had sufficient for the scan to go ahead anyway. I would hope medical staff are professional enough not to cut corners and take risks.

Thanks Chris

 

I would hope so too. But there have been some instances of professionalism absence and it plays to my wariness about medics.

User
Posted 22 Dec 2022 at 14:39

OK, so I am now 21/33 fractions, so nearly 2/3 finished.

I have a sore rectum and loose stools. However I MIGHT have a gastric infection, because I have had stomach cramps which are too "high up" to be EBRT damage. Feeling a little tired sometimes, but no urinary problems...YET.

I have just had my PSA done. My last pre-EBRT three months ago was 0.41, todays is 0.42.

So rate of increase has slowed to almost nothing, but no decrease yet. Is that what I would expect to see? Obviously I was hoping to see a magical fall to undetectable!

 

 

 

 

 
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