BrachyTherapy/External Beam Radiation

In brief, I'm 78 with a history of prostate cancer dating back to 1999. I choose seed implant and external radiation (EBR) as my treatment. After several years post implant of a low psa with several scary bumps, I have a basically zero psa for the past 10 years or so. The reason I'm writing is to let folks know that my seed implant and EBR appears to have killed the cancer but resulted in some long term major radiation damage to my bladder, urethra and prostate. My treatment was at the University of Washington Prostate Institute which was all the rage back in the late nineties ..... several clinica back then were operated by very knowledgeable seed implant pioneers.....but long term studies looking forward were hard to find if non existent. The reason for the EBR in those days was recommended when your scores suggested there was a possibility that your prostate tumor might have permeated the prostate wall. Why not have your prostate removed.....well back in the 90s your chances of a surgeon salvaging your nerve bundles from your prostate for future erections were very poor.
All went fairly well for several years with the exception of chronic urgency and a slowing stream. After about 5 years my urinary stream became a trickle. A physical exam revealed a narrowing bladder neck with an opening about the size of a pencil lead. thus began a series of surgical interventions to correct bladder neck abnormal growth and graduated into a narrowing of the urethra in the existing prostate. Additionally, I began to experience calcium type deposits in my urethra which required several procedures to clear the channel. Ultimately, after four surgical interventions I became incontinence in 2015 and now use pads or clamps for control. I believe that the EBR I received mostly caused most of the radiation damage......however there is the possibility that had I not been treated with EBR I may well of had a reoccurring cancer. In discussions with my urologist the procedure I'm describing in the late 90s was pretty primitive compared to today's improved techniques...........
So guys, before you get talked into the radiation combo i've described above, I'd recommend you take a long hard look at your options.......If reader want to know more of a detailed nature let me know.......

Sorry to hear about your issues. The early radiation treatments had a lot to be desired. Every patient reacts differently and all ROs are not equal in skill level.
I had the same combo treatment in 2009, with IMRT and have had zero issues.