LDR Brachytherapy - Two Weeks Update

98 Palladium-103 seeds implanted Mon 08/08. Took a while to pass enough urine to be allowed to go home, but was home in time for dinner. Pain not a factor and resumed walking my dog on our regular schedule (2-3 times per day/half mile per walk) within 48 hours.

Having significant issues with urinary symptoms post-procedure. Have to go frequently, particularly at night, which keeps me from getting a good night's sleep. Called RO on Wed 08/17, who upped my Flomax from 1 per day to 2 per day. Follow-up visit with RO on Tues 09/07.

Important to point out that RO DID tell me that I had an increased risk of culinary symptoms post-procedure, so this is not a total surprise. Just frustrating in that I feel fine and am mentally ready to go back to work, but am hesitant until my symptoms smooth out some......

Other than Flomax, anything I can do to help the process along?

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Age 64, Black
PSA 2.5 (01/14), 4.2 (03/15), 4.5 (03/16)
Diagnosed 04/15 - Biopsy 3 of 20 positive, Gleason 3+3
Biopsy 03/16 - 7 of 20 positive (3% - 15%), Gleason 3+3, perineural invasion (right lateral mid)
RALP scheduled 06/01/16 - cancelled in favor of LDR Brachytherapy (Palladium-103 seeds)
RO (with 800+ prostate implants under his belt) not able to get me on schedule until Mon 08/08/16
Additional PSA 4.9 (07/16), volume study completed

Rinehart: I was also p-103 guy but did not experience the same urinary issues. Glad to hear you are walking as this seemed to help more than any of the meds. Please read about the SEs associated with Flomax. You should have some post-op instructions as to foods/liquids to avoid.
False bowl movement sensations, and the post-op pain were easily remedied by a short walk.
I wish you a very quick mend and wean off Flomax at your Doc's discretion.

Don't forget to take Metamusil. It's good for both constipation and loose stools, a common symptom for a few weeks.

QUICK UPDATE: Four week follow-up appt with RO today. Still having urgency/frequency issues, even after going to 2 Flomax per day. RO's Nurse Practitioner did bladder scan, which indicated I had approx 500cc of urine in bladder. Walked down the street to urologist's office (same urologist who had done biopsy and recommended RALP!) and was taught to self-cath (scan was accurate - voided over 500cc). Instructed to continue Flomax twice daily and self-cath three times daily. Next follow-up appt with urologist in four weeks; next appt with RO in at three months post-procedure.

Bladder spasms after self-cath not a lot of fun, but I slept for almost three hours this evening without having to "get up and go". If this is 'progress", I'll take it.........

There lots of medicines for bladder spasms - Myrbetriq, Vesicare, oxybutynin, etc. Hopefully, the self-cathing is temporary.