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@ambika FYI - The amount of water recommended is highly variable. In my case, I apparently tend to absorb water rapidly, reducing the amount getting to the bladder. As a result, I am required to drink 32oz of water prior to treatment (luckily, I am allowed to include my morning coffee in that total). In re the spacer, I am undergoing proton beam therapy, and the protocol empoyed is a combination of features of BioProtect and SpaceOAR. BioProtect employs a balloon inserted rectally, which allows flexibility in adjusting the location of the spacer. After positioning, the balloon is filled with a biodegradable gel. Both the gel and the balloon are biodegradable. SpaceOAR injects the gel directly, and once injected, its location cannot be adjusted. In my treatment, a biodegradable gel is directly injected before the start of treatment. Then, each day (5 days/week) after positioning on the table, a balloon is inserted, positioned and inflated, providing additional space, before the treatment starts. The balloon is removed after treatment.

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@georgemc On rereading my post, I found a couple of clarifications/corrections are required. First, the BioProtect balloon is NOT filled with gel. It is filled with a saline solution. Also, it is not inserted rectally. It is implanted via a minimally invasive surgery which allows it to be inserted through a small incision in the perineum. It remains in place until it is ultimately reabsorbed. In my case, the gel was injected, as in SpaceOAR. That was done at the same time markers were implanted in the prostate. Then, at the start of each treatment session, a balloon is inserted, positioned, and inflated to further expand the space between the prostate and the rectum. Sorry for the need to correct/clarify. At the end of the session, the balloon is extracted.