Incontinance with radiation therapy

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New Member

Date Joined Feb 2008
Total Posts : 8
   Posted 10/3/2008 11:42 AM (GMT -6)   
I will be grateful if you do not mind sharing what effects radiation theraphy may have had, or not had, on your continence.
I will begin salvage (adjuvant) radiation therapy in November.  I had a RP in February with gland-confined cancer; however, the path report showed Gleason 8, contrary to the initial biopsy report of Gleason 6.  Due to the lower biopsy findings, my surgeon did not remove the lymph area.  Although I have had less than .1 psa's since the surgery, the doctor advised salvage radiation due to the Gleason 8 and the fact that my lymph glands were not removed.  I agreed to begin the radiation.  The only drawback, as I understand, is anything from minor to major incontinence since the sphincter muscle closing the bladder normally is damaged by the radiation.
Any experience with this that you care to share?
Born: 1944
Nov 2007 - PSA 6.2
Biopsy Nov 07:  Three of 12 cores positive for adenocarcinoma; Gleason 3+3=6 at left apex, right lateral mid and right lateral base.
Open Surgery (RP) Feb 2008
Path Exam of Tissue:  Gleason 4+4=8
Tumor confined to prostate gland
Staging: (pTNM): pT2c pNX pMX
Margins:  Free of Tumor
Extraprostatic Extension:  Absent
Seminal Vesicle Invasion:  Absent
No perineural space invasion identified
CT Scan:  No metastasis found
1st postop PSA:  <0.10; 2nd: <0.10

Veteran Member

Date Joined May 2008
Total Posts : 1010
   Posted 10/3/2008 2:01 PM (GMT -6)   

Hi Seeker44,

I am three weeks post radiation treatment. I had no incontinence either during or since the radiation. In the fifth week I did develop some diarrhea but this was controlled with immodium. I was getting a full pelvic for the first 25 treatments and as soon as this stopped the diarrhea resolved and has not returned. I did have some fatigue in the fifth through the seventh week. I work out regularly and had to stop for the fifth week only but I was not at 100% for the remaing time. I am getting back to my pre treatment strength and endurance now. I did have some problems with urinary frequency particularly at night and a little bit of burning sensation that started in the fifth week. Flomax resolved this problem. I have been told to discontinue the use of the Flomax when the current bottle runs out. about three more days.

Good luck with your treatment.


Diagnosed 04/10/08
Age 58
PSA 21.5 (first and only test resulted from follow up visit to emergency room for kidney stone. first time for kidney stone too)
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear
Chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
PSA test on July 14, 08 after 8 weeks hormone .82
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 to be full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
Second Lupron shot 09/11/08
Next PSA test by oncologist 03/09

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