This is one of the side effects that happens from radiation. It is not real common, but it does occur with a lot of people.
Primary Treatmentn Adjunct and salvage radiation possible side effects
Radiation proctitis
Rectal issues
Rectal bleeding
Bladder infection
Breaks in bones radiation damage to bones
Fibroses in bladder which can reduce capacity
In general, toxicities after postprostatectomy radiation using photon-based techniques have been tolerable, although the rates of late grade 2 and gastrointestinal (GI) and genitourinary (GU) toxicities range from 10% to 20% with image-guided intensity-modulated radiation therapy (IMRT).
What this means. “ late grade 2 and gastrointestinal (GI) and genitourinary (GU) toxicities”
Above describes moderate symptoms of damage to the bowel and bladder, requiring minimal intervention but impacting daily activities, and occurring after salvage radiotherapy for a recurrence or persistent cancer after initial treatment. Gastrointestinal (GI) symptoms can include moderate diarrhea or bleeding, while genitourinary (GU) symptoms might involve increased urinary frequency, pain, or intermittent bleeding.
A link to article
https://pmc.ncbi.nlm.nih.gov/articles/PMC8019576/
@jeffmarc my IMRT side effects ( 45 sessions ending Dec 2 2025) -so far- have been some transient fatigue from both ADT and radiation...not too bad that I couldnt play thru, a bit of mucous early on after finishing radiation ( rectal area) , and recently, some burning when I urinate..lasts 10 seconds or so.., lastly, some sleep disturbances...combined with on going ADT sides, becomes a nuisance and bit depressing at times..I never stay down too long but its tough going alone.