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Considering Tulsa Pro or Proton radiation (full gland)
Prostate Cancer | Last Active: 5 hours ago | Replies (21)Comment receiving replies
@clevelandguy Proton rad can definitely hit the bladder. I know because it hit my bladder. 5 proton sbrt. It can be minimized, but not totally eliminated. The gel rectal spacer helped me avoid any bowel issues, so far. Radiation side effects have a way of sometimes happening months or even years after treatment. I am nearing 5 months post treatment and still have urinary impacts. Hoping they go away.
To the OP, I would skip the TULSA and go for the radiation now. The recurrence rates for the TULSA are just too high, especially as it appears in your case.
Replies to "@clevelandguy Proton rad can definitely hit the bladder. I know because it hit my bladder. 5..."
@oldgreenpaint
Proton radiation has a fixed length beam, sounds like something went wrong with your procedure. The beam length was not set up properly? The gel should have protected your bladder?
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@oldgreenpaint
Thanks for that. I was not aware you could get five treatments of proton radiation. I thought the SPRT for proton was experimental?
I was considering the 28 sessions with a spacer gel in the hopes that getting 1/6 of the radiation each time might lessen the effects on my rectum or bladder?
I am worried that the radiation of sex will show up that year 3+. And ED or incontinence issues will start negating the advantages of radiation versus surgery?