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Fensty
New Member


Date Joined Oct 2008
Total Posts : 12
   Posted 11/17/2010 9:46 PM (GMT -6)   
I completed my 44 IMRT treatments April 1, 2009 and have had relatively little side effects from the radiation until recently. In the past month I have experienced several episodes of bedwetting. Is this related to the radiation or do I have a new problem to worry about?

Charlie F - Pennsylvania

Julietinthewoods
Regular Member


Date Joined Sep 2010
Total Posts : 309
   Posted 11/18/2010 11:41 AM (GMT -6)   
Charlie,

I assume that this was primary treatment for you? Because my husband has elected the same treatment protocol, I have read extensively on IMRT/IGRT. I have gotten the impression that late bladder effects are uncommon (but certainly a possibility), and involve 'irritative' type symptoms rather than incontinence. The possible late side effects I listed in my notes included cystitis, frequency and bladder contracture (which would seem to involve pelvic pain from bladder spasms and inability to completely void).

Have you begun any new medications that could be causing you to sleep so soundly that you are not awakening to respond to signals to empty your bladder? You don't mention any daytime bladder symptoms, so it seems unlikely that you have an infection, but I would certainly see a urologist to rule it out if I were you.

Please let us know what you learn, and I wish you well.

Juliet

Jazzman1
Veteran Member


Date Joined Sep 2010
Total Posts : 1160
   Posted 11/18/2010 7:30 PM (GMT -6)   
I'm no radiation expert by any means, but I recall my uro mentioning that delayed incontinence can be a side effect of radiation. He said it often happens a year or more later. When he discussed treatment options, I recall him saying that incontinence was immediate with surgery and often delayed with radiation.

I certainly wouldn't take my word for it, though. This is probably worth a call to your radiation doc. Good luck.
Age 55
PSA: 8/09 2.69 -- 7/10 4.00 -- 8/10 4.11
--------------------------------------------------
Biopsy 8/10
Three of 14 cores positive: 10%, 60% & 80%
Stage T1C; Gleason 6
---------------------------------------------------------------
open radical prostatectomy at Cleveland Clinic 11/2/10
Post-surgical pathology:
Gleason score 7 (3+4); Three positive margins
Stage T2c(+)

Julietinthewoods
Regular Member


Date Joined Sep 2010
Total Posts : 309
   Posted 11/18/2010 8:54 PM (GMT -6)   
I found this article, posted by a prostate oncology group, to be helpful. It contains a chart referencing long-term side effects by percentage for each of three treatment options.

://www.prostateoncology.com/resources/?pg=patient_education&id=8

Hopefully, your current bed-wetting episodes are unrelated to the cancer or treatments. Your urologist should be able to help you, either way. Good luck...

Juliet

Julietinthewoods
Regular Member


Date Joined Sep 2010
Total Posts : 309
   Posted 11/18/2010 8:56 PM (GMT -6)   
Oops...let me try that again:

http://www.prostateoncology.com/resources/?pg=patient_education&id=8

pa69
Regular Member


Date Joined Mar 2009
Total Posts : 260
   Posted 11/18/2010 9:10 PM (GMT -6)   
Charlie,
My brother completed radiation treatments last April and to date has no side effects. I had surgery in December 2008 and suffered incontinence until March 2010. At this time we both are in good health and we both have undetectable PSA and no problems with incontinence.

Regards,
Bob
Age 71, First ever PSA 7.8 taken June 2008, Biopsy July 2008, 10 of 12 cores positive, Gleason 3+3=6
da Vinci surgery December 10, 2008, catheter removed December 29 2008
St. Lukes Hospital, Bethlehem, Pa.
Dr. Frank Tamarkin
Prostate weight 73.0 grams, Gleason 3+3=6, stage pT3a
Tumor locations: right anterior apex, right posterior apex to mid
left anterior mid to base, left posterior apex to mid
extensive perineural invasion in right anterior apex, right and left posterior apex to mid
seminal vesicles negative
Seven PSA tests undetectable, latest Aug 2, 2010
Pad free beginning Mar. 18, 2010!
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