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SpaceOAR causing issues

Prostate Cancer | Last Active: May 1 10:25am | Replies (59)

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@5galloncan

That's tough to hear. If you have rectal bleeding after radiation therapy, make sure you coordinate any treatments with your radiation oncologist. When I had my Proton Therapy, I was told not to have any colonoscopies, or other "fishing around" in there by anybody without them coordinating with my treating doctor at UFHPTI. There's a reason for this. Most proctitis symptoms will take care of themselves without intervention by a gastroenterologist. The rectal wall likely is healing itself and very susceptible to damage by unnecessary probing around. Be cautious. Be careful. Before my treatment, UFHPTI made sure I had undergone a recent colonoscopy so a repeat wouldn't be necessary for 4 to 5 years. Again, it is so there's no poking around in there that could cause more damage where the proctitis will likely heal on its own if left alone. So please coordinate with your treating radiation oncologist. In my case it is Dr. Bill Mendenhall. He happens to have a background in Gastrointestinal Radiation Oncology, so I'm going with his recommendations. And no, I didn't have a gel spacer inserted because the doctor called it off during the procedure. I had to go with the endorectal balloon. After 10 months, I'm seeing a little bleeding after some bowel movements and suspect a mild proctitis, as does Dr. Mendenhall. I'm keeping him up to date. No interventions are scheduled at this time.

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Replies to "That's tough to hear. If you have rectal bleeding after radiation therapy, make sure you coordinate..."

@5galloncan How are you now? "I didn't have a gel spacer inserted because the doctor" because my oncologist said I didn't need it. I completed my SBRT this past April 9-21, 2025. After 1 week, I'm seeing a little bleeding after some bowel movement or when "it feels there is a need to move bowel but only gas and a little watery blood comes out." I updated my oncologist; it appears this little bleeding is nothing unexpected. I'm keeping an eye if if it gets worse; I was told my side effects would peak 3 or 4 weeks after my last radiation.