Night time urination frequency post radiation

I had a similar problem that happened years later after radiation. I take Myrbetriq Was you supposed to work similarly to Gemtesa, You might ask your doctor to switch and see if it helps.

I used to get up two or three times a night. I now don’t need to get up at all..

I had 8 weeks of radiation and 28 months of ADT and for a while I used to urinate 5 times a night now I still urinate 3 times a night.

I had radiation 16 months ago and usually go once or twice at night. Cutting back on fluids earlier helped some.

Thank you for your responses. I am hopeful that my bladder continues to heal from the radiation during the next 6 months and the frequency declines.

I had 6 months of ADT, with 25 proton radiation treatments in the middle of that. Ended ADT June 2025. I started Flowmax in the middle of my radiation treatments as I was having a hard time peeing, especially at night. It worked a treat and ever since I usually go once a night, sometimes none and very occasionally twice.

I just finished 20 sessions of RT with an HDR brachy boost. I've had urinary problems before and after the RT. My RO suggested I see a Pelvic Therapist at his cancer center. The appointment was very useful. Urinary problems and what to do about them are their specialty. The doc diagnosed why I'm having problems and gave me a list of things to do about it in the way of exercises. Highly recommended.

@climateguy
So what did he say was a problem, if you do not mind sharing ? Thanks in advance 🌺.

She spent a lot of time asking questions. She also had me strip down and perform what I thought were pelvic floor contractions. Apparently most people try to figure out how to activate their pelvic floor muscles and many don't actually know how to do it. I had practiced Pilates for years and thought I had a highly developed pelvic floor, but she said there was a lot of room to improve. I did have the ability to activate the muscles.

She wanted to observe how long I could hold a contraction, and how long initiating a contraction, relaxing, and initiating another, took. And then had me do the contraction and relaxation in a series of ten reps. She then prescribed a list of exercises and when and where to perform them.

The surgeons at Fred Hutch send their patients prior to surgery to this clinic. I was considering surgery at one point but I cancelled out. The surgeon made appointments for me when he thought I was going to have surgery, which I cancelled out on. I asked my RO about this and he thought it would be a good idea for me to see these people so he referred me.

@climateguy
Thanks so much for detailed explanation and description of the exam and sharing what were the recommendations. It is always good to know about possible solutions for after RT side effects. I never before read that pelvic floor exercise can help with inflammatory post RT issues and it is great to know that they can. 👍🍀
Wishing you fast and complete resolution of urinary tract problems. 🍀
Just as a side-note, if you have urgency you might try AZO supplement. No side effects and it might help, one never knows.

I hated being on AZO. I concluded it wasn't doing anything for me and quit. Ack!