Bladder and uretha burning sensation

Have you gotten a diagnosis yet?
> A cystoscopy to take a look to see what’s causing the dysuria? UTI, prostatitis, cystitis, something else?
> A colonoscopy to take a look to see what’s going on? Proctitis, hemorrhoids, other rectal injury.

It’s not uncommon to have urethral and/or rectal complications depending on how well/badly the seeds are placed. Did you use a rectal spacer?

I’ve read that, if having pain and burning during urination (dysuria) caused by radiation treatments, once they’ve ruled out a UTI and prostatitis, try these in this order:
> Avoid fruit juice, smoothies, etc. with citric acid.
> Try OTC NSAIDs (Ibuprofen/Alleve/Advil/Naproxin/Motrin).
> Try Prescription NSAIDS (Celebrex)

For more serious issues:
> Try Medrol dose-packs (steroids)
> Finally, try the over-the-counter product called Azo (it’s basically a urinary analgesic);

At the extreme —> If it’s radiation cystitis, could need hyperbaric oxygen therapy.

As always, discuss with your doctor about these remedies first.

Have you gotten a diagnosis yet?
> A cystoscopy to take a look to see what’s causing the dysuria? UTI, prostatitis, cystitis, something else?
> A colonoscopy to take a look to see what’s going on? Proctitis, hemorrhoids, other rectal injury.

It’s not uncommon to have urethral and/or rectal complications depending on how well/badly the seeds are placed. Did you use a rectal spacer?

I’ve read that, if having pain and burning during urination (dysuria) caused by radiation treatments, once they’ve ruled out a UTI and prostatitis, try these in this order:
> Avoid fruit juice, smoothies, etc. with citric acid.
> Try OTC NSAIDs (Ibuprofen/Alleve/Advil/Naproxin/Motrin).
> Try Prescription NSAIDS (Celebrex)

For more serious issues:
> Try Medrol dose-packs (steroids)
> Finally, try the over-the-counter product called Azo (it’s basically a urinary analgesic);

At the extreme —> If it’s radiation cystitis, could need hyperbaric oxygen therapy.

As always, discuss with your doctor about these remedies first.

@brianjarvis
I had a colonoscopy. Results were all good. I have had so many NSAids, still no improvement. I had the nerves burnt. I had pelvic physio. I had pain blockers. Still no change to the burning sensation.Now the constipation makes it even more uncomfortable.I think it's time for Hyperbaric Oxygen.

Does the Hyperbaric Oxygen work?

@markharris For both the urinary and rectal issues, hyperbaric oxygen therapy (HBOT) can often be effective.

Most men who have these problems - radiation-inducted cystitis, proctitis, or enteritis - don’t understand they may have the HBOT option (depending on their insurance and access). Request it and see if you can be approved.

The doctor may want to do a cystoscopy first - often you have to have a “documented diagnosis” of cystitis; whatever hoops to jump through to get approved for HBOT, do it.

There would be multiple sessions; HBOT enhances the wound-healing process; it may help; it certainly wouldn’t hurt. And that’s not a bad deal when you’re dealing with a chronic radiation-induced problem.