@clevelandguy I was treated at a Center of Excellence that told me up front that the risk of bowel issues was less than 2% and the risk of urinary issues was 10-20%. When I experienced my urinary discomfort I asked the radiation oncology nurse who was helping me if I was the Outlier. She said almost everyone will have some level of urinary issues. I asked if it was my prostate or bladder that was screaming at me and she said both. The med center was well schooled on how to control pain and mitigate discomfort.

I was VERY CAREFUL to eat, drink, defecate, and urinate the same way before for my Simulation and Treatment sessions. Did not move at all while on the radiation table. I think I did everything right, and so did the med center. Med center explained the theory of enmity rectum and full bladder was to protect SOME of the bladder, but not all of it. There is a reason that Prostox was invented. I am perhaps that reason.

My brother is in the mill now, and he is looking at 5 session photon sbrt spread over 5 weeks. I think that would be better than the five every other day that I did.

@clevelandguy
I have heard of multiple different issues after proton radiation. It appears no type of radiation is really Side effect proof.