Fiducial markers implant and SpaceOar Gel

Word of caution:
my experience was similar to yours up to this point. I started to have minor urinary restriction approximately one week after SpaceOAR injection. It may have been the SpaceOAR or the marker placements... combination of Biopsy and one or both of these procedures. Bottom line we put our Prostate through a lot of prodding, probing, injections, biopsy snips and finally radiation beam exposures. This can cause inflammation which can restrict your normal urination flow. I was told to try anti-inflammatory, this helped a bit. Some are put on Flo-Max. This relaxes the muscles permitting greater flow. Research shows that these symptoms often disappear spontaneously after 3 months from last radiation treatment. The restriction can actually continue to get worse a week or two after last radiation treatment.

Hopefully you will avoid this issue. Regardless it is a temporary inconvenience... for most.

Best wishes!

The day after report. Just a little sore where the needle that inserted the markers and gel was inserted. Using a cushion when I sit on my solid oak chairs at the dinner table. Padded office chair is fine. If I didn't know better, I would swear he did not put any gel in as there was no feeling of fullness in the bowel at all. Urine flow great and I have a 120-gram prostate and that worried me for no reason. I spent from 9:30 AM till 4 PM watching the Spring Training practice and game with no problems. Looking forward to the 5 radiation treatments so I can put all this in the rearview mirror.

I had the space OAR inserted and ended up with an infection either because the doctor inserted it incorrectly or his needle penetrated the rectum. I was unable to start the radiation treatments (28 proton at Sibley Hospital in DC). I am currently on active surveillance which I have urologist agreement on. My Gleason score was 3+4 or 3+3 depending upon who reads it and my most recent PSA in February is 5.49. I am currently in analysis paralysis. At any rate the local hospital has stopped doing SpaceOAr as they have seen a number of failures. That surprised me as they initially pushed it. My local hospital does not offer proton hence my travel to another city. To make a long styshort the ballon method is what I would do should I start radiation

I had it done about a month ago and had no issues. In the middle of high dose radiation and saw it on the mri, as I asked to see what they see. No issues, now the radiation, that’s a different story.