Chronic Prostatitis pre treatment: radiation or surgery ?

Posted by carl123 @carl123, 17 hours ago

Hi All:
Have any of you with prostate cancer also had chronic prostatitis pre treatment? If so, what treatment did you select - radiation vs surgery?

I've been told by some that radiation will exacerbate symptoms and by others that it will exacerbate the symptoms for several months, but after that the symptoms should improve to better than pre-radiation.
I've also heard that surgery, while it does remove the prostate, does not solve the prostatitis symptoms. I'd appreciate any counsel.
The chronic prostatitis is non-bacterial as far as we can tell.
Thanks

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Jeff Marchi | @jeffmarc | 15 hours ago

This is the situation where you should get a Prostox test to see if radiation will cause you problems. That test can tell you whether IMRT or SBRT can cause long-term issues.

If you could get more sessions of IMRT That would allow them to use less radiation and might avoid the problem with the urinary issues. I know many people that have had I MRT in 20 sessions or around that number and they almost always have urinary issues. I had eight weeks of sessions 12 years ago and didn’t have any problems. Lower dosage might’ve been the reason or better techniques, though that’s unlikely.

Surgery would definitely greatly reduce the problem potential.