4 plus years into Prostate Cancer experience. Had three chemo treatments, two year interlude, radiation directly to. prostate (20 treatments) three years ago, and in February 2025 took Pluvicto - two treatments. Radiation irritated (caused?) fissure and ulcers in rectum. EXTREME pain and pressure. NO relief. Oncologist sent me to colorectal sturgeon to remove irritant (stool passing over fissure and ulcer and irritating them) and of course the surgeon recommended surgery - divert the bowel and eliminate the problem. So, I submitted to a surgery five weeks ago and now have a colostomy bag, etc. for the rest of my life. STill have pain, pressure, and extreme discomfort and pressure.

Problem is that they are still 'practicing,' and two things: (1) they do NOT tell you all the side effectss, and when confronted, the radioactive docs deny any responsibility while (2) every article on the net and in medical communication says that radiation proctitis is a direct result of more radiation, and is irritated by the same drugs they prescribe to manage the pain. =

Instead of curing the problem which they created, the system prescribes more strrong narcotics, more frequently, and the docs get their prescription kickbacks, etc. and patients suffer.

My two cents: remove the prostate and never let them radiate you. There are many pleasurable ways to make love, not just one, and it sounds cold, but consider their situation. The docs cannot do anything that the insurance. ompanies won't pay for, or do it in the prescribed sequence, and NO ONE HAS THE PATIENT'S WELL BEING AS FIRST PRIORITY.

For months now all focus of my treatment has been on pain managment and keeping me drugged - meanwhile, the cancer grows and spreads and we talk about 'will this work?' "Lets try this?'

Praying you have wisdom, a doctor not interested in only making money and tikking off boxes. but in seeing you healed fully, and a strong support system for you. "Fight, fight, fight.'