Post Radiation Therapy - Blood in Urine

Posted by hector13 @hector13, Feb 19, 2024

Following removal of my prostate, I had 40 sessions of radiation therapy to the pelvic area. The radiation therapy was concluded in 2018. This past week I have noticed 3 instances of blood in my urine. I was concerned enough to contact my urologist, and he reassured me that he believes it is a result of radiation from 2018 and nothing serious.
I did some research and found a site that may describe my condition. It is called radiation cystitis, and the site stated that 1% to 2% of men who receive radiation to the pelvic region will experience bleeding 5 to 20 years later, due to injury to the bladder during radiation.
My question to any of you fellows out there who may be in that 1-2% with me: "How long did the blood in the urine continue; did it stop on its own at some point? And did you require any medical treatment to get it to stop? I would appreciate any responses.

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Profile picture for susanesmith @susanesmith

@lsk1000 would you please share the doctor who helped you with this please. Thank you so much! Sue Smith

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@susanesmith I was treated by Dr. Billy Cordon at Mount Sinai Medical Center, Miami, Florida. He used Amicar first but it lasted only one month. I urged him to use ALUM and that has solved the problem since 2023.
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/iju.12113
https://bjui-journals.onlinelibrary.wiley.com/doi/pdf/10.1111/bju.12291
Some of The chemical agents cited that have been successful depending on the patient are:
- ALUM
- Formalin
- Silver Nitrate
- Amicar
- Sodium hyaluronate (Hyaluronic acid)
- chondroitin sulphate
- Sodium pentosan polysulphate (Elmiron) orally
- Prostaglandin
- Conjugated Estrogen
- Dexamethasone + epoetin alpha
- High-dose methylprednisolone
- Phenazopyridine

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Profile picture for susanesmith @susanesmith

I am currently researching for my boyfriend, he is going through the same thing as you. It’s been years now, and still blood, and huge painful clots. He thinks they are worse when he does physical activity. You two really need to talk and try to help each other figure things out if possible. One of his doctors suggested that hydobaric oxygen. The other doctor told him that he thinks it causes the cancer to spread, because it happened to one of his patients. It could have just been coincidentally. We are confused and scared, but something needs to be done.

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Susan, your boyfriend's doctor is wrong. If a previous patient of his had a cancer spread, there could have been multiple causes. I had serious internal bleeding, and needed 40 sessions in a hyperbaric oxygen chamber to stop the bleeding. I urge your boyfriend to get the oxygen treatment. It will help him.

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