prep for SRT after RALF

I was wondering if I should be prepping somehow for up coming SRT? I had RALF almost 2 years ago and now PSA is at 0.13 I'm scheduled for first week of Sept to start radiation.

I have been doing kegles but is there any other prep that may help with side effects?


I'm 63 and RALF went good incontinence is under control and using Trimix for sex which works great


Any help much appreciated

Im only having radiation no hormones my oncologist said I should have no fatigue?

What part of the day is best to have the sessions? She want me on a stick diet during so I have no gas and the right amount of water 8 to 10oz each day when I arrive or she will send me home and add another day on the end.

I found it helpful to buy as many 20 oz bottles as there were sessions and keep them in the trunk of my car. Every session I would pop open my trunk and take out another bottle to drink at stoplights to have my bladder nice and full for the machine. Radiation is a long old slog and watching the box of bottles empty out helped me keep track of my progress.

And I agree with what Andrew said except I would reverse the majority. I would have said "Most get the fatigue, but some don't".

But the fatigue isn't particularly dire. Exercise does help but even with exercise you should expect a few extra naps during the coming months.

If you're still working, or have other daily activities which require commuting, you might try to optimize your schedule. For me, I go at lunchtime, avoiding rush hour traffic in the morning and evening. Others find that a morning or evening schedule works best.

I had the same problem starting the second week. Have you had a colonoscopy since completing RT?

I don't mean to highjack the thread - but yes, RT was completed in the spring of 2016. RO had a cat scan and a MRI completed and said nothing showed up (middle of 2016). RO wanted to do a colonoscopy at that time, but I had another one scheduled for December 2016

One colonoscopy in December 2015 (polyps removed) and then follow up after RT in December 2016
(more polyps removed) - they have me going back again for another colonoscopy in December 2019

FYI, I went to URO yesterday and did a urine test, results today, blood in urine with a cystoscopy scheduled August 10, URO stated he thinks the blood is from RT, but wants to rule out bladder cancer

I was 56 years old when all of this started

All those who say RT is is a walk in the park have not spoken to everyone who went through it, but radiation rules here on this forum.

On water, not only are we all different, but I’ve learned that each of us varies his hydration from day to day. For me it was 20 ounces an hour before treatment at first, then RO wanted a more full bladder so it’s now 24 oz an hour before.

ntzguy said...
Others will chime in shortly and say the blood in the urine has nothing to do with the RT - but they are not MDs

Not disputing you at all, I’m not a doctor, I suppose it’s entirely possible that it’s from the radiation. Just as a point of information.....I’ve never had radiation, and on occasion, I have blood in urine (trace). Both before, and after my diagnosis/RALP. AND SO FAR, EVERY TIME, I RETEST IN A MONTH AND THERE IS NO BLOOD..

Which is a really good thing, because just the thought of having a camera shoved up my private parts makes me want to 🤮🤢

fiddlecanoe said...

ntzguy said...
. . . but radiation rules here on this forum.

Maybe so, but plenty of us have done surgery AND radiation![/quot

Self included

40buickcoupe said...
Time will tell have a month before I start, no incontinence now and no blood and BM's good I just have heard good and bad. They told me to only drink 10oz before just enough to lift the bladder off the floor. I have a diet to follow so no gas or stool or she will send me home. I will follow to a T I just want to get it over with.

Some guys seem to get thru it without any issues... doesn't mean that they or their doctors were any better or worse as far as better patients or doctors. Everyon'e cancer is different, and everyone's bodies are different.

I had a strict diet starting the week before starting RT and still had problems which started the second week. I had to cut out even more stuff. Bland chicken and rice seemed to work well. I had to limit salads, fruits and veggies, nuts, mushrooms and such. Onions and spicy sauce were already off the table.

I was supposed to drink 32oz water 90 minutes before treatment, but I adjusted it to start an hour earlier and finish up one hour before Tx. That worked fine, except when I had diarrhea just before going into Tx, which happened a few times. Fortunately I never had to wait more then 20 minutes to get in and never had any accidents. The RT facility was right around the corner from my home.

BTW my RO retired shortly after my treatment ended. He must have felt "My work here is done".