I had 45 EBRT treatments in late 2015. My PSA before treatment was approaching 11, the last time it was checked, last fall it was 0.09. The status of my bladder was never mentioned during any session. They used the 3 gold seeds that had been implanted in my prostate as their guide for each session.
Recently I have been dealing with urine retention, to the point of two visits to the ER for catheterization. My stream had been getting weaker and weaker, but things were working fine until sudden retention. Now on Silodosin (cannot tolerate flomax, horrible cough), and self-catheterization periodically, and in case of retention.
Cystoscopy last week, and got a guided tour by the urologist. Of interest were the radiation cystitis locations in the bladder, caused by the radiation. She stated this is normal and appears 7 to 10 years after radiation treatment. Treatment may include hyperbaric oxygen in the future. The prostate itself is very red due to the radiation.
The gastroenterologist has also shown me pictures of similar radiation damage in my colon.