It is not typical to have severe urination pain after RT and especially not for this length of time. However, radiation cystitis or inflammation of the bladder and/or urethra can occur.
So that others responding can provide you with the best input, some additional information will be helpful.
Have you noted any blood in your urine?
Is your radiation oncologist and any other medical team members aware of your urination pain?
What therapies have you already tried since June?
Other background information for those responding with similar experience may be helpful.
Timeframe of original treatment, Brachytherapy? No urination pain prior to most recent radiation therapy?
RT completed in June. What type of RT? (e.g. EBRT, IMRT, SBRT) Was RT for a recurrence, rising PSA after a Brachytherapy nadir low point?
Please clarify the date of the last PSA test. Was the date Sept 25 or earlier in October?
@jsh327 Radiation cystitis and/or inflammation of the the bladder and/or the urethra probably the cause pf the pain. I had a CT urogram but nothing showed.
I have been on the following medications Diclofenac 75mg twice daily for 2 weeks, Ciprofloxacin 500 MG for 1 week, Tamsulosin twice daily 400mcg for 4 months and Vimovo 500mg but I still have the burning and stinging. I had EBRT and ADT for 6 months.
The date of my last PSA was 6th October 2025.
My EBRT finished on June 24th 2024.