I thought I had it bad. Nine years is a long time. I'm 3 years post brachytherapy, and 3.5 years post radiation. My issue is the constant blood in my stool from the non-healing scarring from radiation in my lower intestine. I do occasionally have some pain during urination. Tamsulosin 2 days on and 1 day off works best for me. Weening myself off the drug was a no-go a year ago. I certainly would like to stop. Nothing to eat or drink after 7pm will usually get me 5 - 6 hours of sleep without having to visit the john. Now, the 2 ibuprofen with my evening beverage may help with the sleep, too. I'm seeing another urologist next week. I'll post again if he gives me some new ideas on the scarring. Hang in there.