Hi Rob @robseverson, I think if it were me I would definitely ask my care team if it's feasible or possible to switch if there is any benefit for you. I don't have any experience with the treatments but maybe others can share theirs with you.

Hey @robseverson , very sorry to hear that you are going through these side effects.

This is not an answer to your question unfortunately, I wouldn't know. I just wanted to leave a note that I have just gone through this therapy and my recollection was that right where you are seemed to be the worst of it for me. I had a very high anxiety level at the point where you are now. My concern was that the side effects would get worse as I went on. To my pleasant surprise they did not, ( or I just got used to them). Hopefully it will improve some, or at least not get any worse for you.

I did not have trouble urinating however. That sounds like a very difficult situation. I was successful in combating any constipation with chia, and flaxseed meal mixed in yogurt as well as sticking to an exercise program which of course aided in peristalsis.

Best of Luck to you!

@robseverson
Does Methodist have the SBRT equipment? It is a huge investment and aren't many machines out there. No Constipation and no urination problems from the SBRT. No sex drive and a shrinking penis are the only side effects. At 74, I can deal with them.