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Cancer: Prostate Message Board
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Old 07-28-2010, 06:45 AM   #1
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Urination straining after Brachytherapy

How long does the straining to urinate last? My hubby had brachytherapy on June 18th. He's doing pretty good. He got an anal fissure but that has gotten better. Aside from the fatigue he said the worst side effect is the straining to urinate. HE also said that if he doesn't go as soon as he gets the urge a little urine will come out. Has this happened to anyone?

Old 07-29-2010, 10:50 AM   #2
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Re: Urination straining after Brachytherapy

Urgency are frequency are normal for about 6 weeks. A high dose of Ibupropin, 800mg, taken for no more than 10 days will help the swollen prostate and should ease the straining. Be sure to use Flowmax twice daily and avoid all caffine and alcohol for about 6 weeks.

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Old 08-13-2010, 07:52 AM   #3
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Re: Urination straining after Brachytherapy

If brachytherapy does not work, can the patient switch to other forms of treatment like surgery or HIFU?

Old 08-13-2010, 09:38 AM   #4
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Re: Urination straining after Brachytherapy

The normal salvage treatments for failed Brachy are cryosugery or HIFU. This is of course if the PC is determined to be local and not systemc. The Dattoli Cancer Center has been very successful in reseeding with a different isotope as a salvage therapy. I also believe that cyberknife has been used. I know that HDR Brachytherapy has been successful for failed radiation, but don't know if it can be used for failed Brachy. I would not recommend surgery as it is a very complicated surgery that can only be performed by a few specialists and the complications are severe.

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