Hello, dbee,
I was diagnosed with BPH before discovering I had prostate cancer. 4+3 7 intermediate unfavorable. My prostate at that time was about 50cc. I wanted an RP so it would solve the BPH, but was not a good candidate for that. Yesterday I finished up with 4 months of Orgovyx (ADT). Have completed 26 radiation sessions of IGRT, 13 more to go. To address your question, I can say that after the treatment I have had so far, my urination is more frequent, more urgent, more difficult to start, and more painful when I have urine in my bladder. How much of this is related to Orgovyx, and how much to radiation, I don't know. But I do suspect the radiation has swollen my prostate and narrowed my urethra more than it was. I am hoping some of these symptoms will lessen in the weeks or months after all treatment stops. My RO evades answering my questions on this. She just says that we'll have to wait and see what happens. Two close friends had the HoLEP procedure recently at Mayo FL and they are very pleased with their results. I am told I can do that after radiation, but not sure how well the radiated tissue will heal. Maybe there is some less invasive procedure that would help? I have taken Tamsulosin (FLOMAX) and Tadalafil (Cialis) with poor results. Wish I could be more helpful. Best of luck to you.