@tjp1958
My urination before treatment was slightly restricted and after the third treatment roughly 20% more so but I had a prescription for Flomax ahead of time and took it right after the third treatment. Overnight, my flow was stronger. After 6 months my flow was almost better than when I went in for treatment, even though my doctor said don’t expect it to be better than when I went in.

Erections and orgasm’s were less intense but still occurred shortly after treatment and still do today. The erection is not as hard but it is decent.

I had no pain whatsoever and no bleeding from the rectum. I had spaceoar and of course, the MRIdian allowed for 2 mm margins, instead of 3-5 mm for other types of radiation, so less healthy tissue exposure meant less side effects.

My PSA started at 11.2 before treatment and mostly, steadily declined to .75 as of May 2025. I had 2 small rises but my RO said that if my PSA rose 2 points she would be concerned. She said if it rose 1 point she would do a psma pet scan.