Mild pain and constant peeing six months after radiation

Radiation proctitis and radiation cystitis can be side-effects of SBRT. Often they don't show up at all; sometimes they emerge shortly after therapy, and sometimes they show up years later; sometimes they go away quickly on their own, and sometimes they don't. They can both be confirmed with imaging (a routine colonoscopy can see the proctitis, while a cystoscopy can see the cystitis: they both show up as angry, inflamed areas on the monitor).

There are treatments if it becomes unbearable, but if you can live with it without too much discomfort, I suggest letting it be and crossing your fingers that it just goes away. I, unfortunately, seem to have both for the long haul, but they don't bother me that often, so I haven't asked for anything like hyperbariatric treatment (pumping my bladder full of pure oxygen every day for weeks to promote healing); instead, I just go easy on the caffeine and stay hydrated. If I have a spicy meal, I know in advance that I'm going to be feeling it in both areas. I've seen specialists for both (proctologist and urological oncologist), and they've confirmed that it's not "cancer-involved", just another little thing to deal with.

@scottbeammeup offhand I do not remember what you said your your process was. Did your radiation machine have a built-in MRI or did they use fused images? Did you do spaceoar?

I am not a bicyclist so I cannot answer that question but a friend of mine who is a bicyclist uses a seat that is actually split in the middle sort of like a good part of the middle of the seat is scooped out.

I did Fiducial Markers and SpaceOAR in April, had five SBRT sessions in June and was on ADT (Casodex and Lupron April through June, then Orgovyx after, which just ended on October 31).

I will look into one of the scooped out seats. Good idea!

Scott, I tried that one - not so good. I got another one whose name has worn off from use but it has NO horn in the front and no upward tilt like others. It is somewhat rectangular and tilts downward by design.
There is no pressure at all on the perineum. You perch on your ‘sit bones’ - the lower pelvic bones - and there is no chafing on the inner thigh either. Scroll thru on Amazon and I am sure you will find many like it.
But forget the donut holes, split seats, etc…they just don’t work.

Scott, I tried that one - not so good. I got another one whose name has worn off from use but it has NO horn in the front and no upward tilt like others. It is somewhat rectangular and tilts downward by design.
There is no pressure at all on the perineum. You perch on your ‘sit bones’ - the lower pelvic bones - and there is no chafing on the inner thigh either. Scroll thru on Amazon and I am sure you will find many like it.
But forget the donut holes, split seats, etc…they just don’t work.

@heavyphil
Exactly what I found out also. The seat with the donut holes, middle open, etc. did not help me.

I have the seat you are mentioned. Can't remember where I got it. But everyone who sees it asked me where I got it. It is wider than race type seat but has NO tonque. So you do not have pressure on the genitals or transperenial area. The pressure is on your sit bones like you mentioned. Glad you mentioned this seat as I forgot to mentioned what really helped me on other post about bike riding affecting prostate PSA levels.

JC - I found a worn label on the back. It’s simply called THE SEAT.