Hi @tmurphptown, welcome. You'll notice that I moved your question to this existing discussion about prostate cancer, SpaceOAR and proton beam therapy that @kansascityhusker started a couple of days ago. I did this so that you can connect with @cdcfbw @joenfl2017 @rcs @remoteman7 @wrig1jam who have experience with SpaceOAR hydrogel and/or proton beam therapy.

@tmurphptown have you already had the SpaceOAR gel inserted and are experiencing bleeding?

I had the procedure yesterday to insert the gold fiducials and the SpaceOAR. This was under twilight anesthesia - I was out cold. No pain afterwards. A slight amount of blood where the needles were inserted in the perineum but this stopped by the time I was discharged to home (about an hour). No blood in the urine. I was told possibly a small amount of blood in semen. If you are experiencing bleeding for more than a day afterwards it could be the result of medication you are taking and you should contact your doctor.