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Brachytheraphy (those who experienced it)

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Posted 2/24/2018 8:43 AM (GMT -5)
My dad had bracytherpahy (78 seed implants ) done on Thursday (so 2 days ago).

Everything went well and he has been up and walking around with no problem HOWEVER when he pees the burning he said is almost unbearable and his stream was instantly weak - both symptoms we were told were normal but today his stream is just now drips...

wondering if we may end up in the ER to get a catheter.

anyone with experience who can comment and share any advise?
Posted 2/24/2018 9:37 AM (GMT -5)
Call your radiation oncologist or urologist immediately. Emergency room yes - you might need that catheter.

I was on Flomax 2x a day after my seed implant. Burning cleared up in a few days, urine flow got progressively stronger. Flomax Reduced to 1 per day at about 30 days
Posted 2/24/2018 9:40 AM (GMT -5)
He can self catheterize but was scared to do it without a doctor okaying it. I told him if we went to ER this is what they would do. He put one in and out came 24 ounces!! He feels so much better! Now he will do his old self catheterizing method of every 4-6 hours and will have to talk to the doctor about how to ween off.
FYI - we put in a call to the radiation oncologist but are still waiting for a response.
Posted 2/24/2018 10:06 AM (GMT -5)
I had my Brachytherapy procedure three weeks before your father.

I too experienced burning when urinating but only for the first day. It was definitely the worst side effect.

He must be taking painkillers but even with the maximum dose of both Tylenol and Aleve I still experienced the burning.

Your father should also be taking Flomax?

I've read that 4 to 6 weeks after the implant, side effects including decreased flow can most notable.
Posted 2/24/2018 10:20 AM (GMT -5)
Not uncommon for brachy. He was give the self cath stuff for this reason. You should still call the on-call doctor. Likely you'll get a reply like, "Good you did that, call if you have more problems."

Hang in there it gets better each day.

Andrew
Posted 2/24/2018 1:29 PM (GMT -5)
I had burning but took double doses of AZO, according to my doc and it solved the issue. Denis
Posted 2/24/2018 2:09 PM (GMT -5)
If he is not on meds to alleviate his symptoms he should be, ask the RO.

Anti-inflammatory drugs for swelling, Tamulosin to help with retention, Pyridium for the burn, and whatever else might be in use currently, my experience with Brachy was 5 years ago.

If he can't urinate and/or self cath, go right to ER
Posted 2/25/2018 12:17 AM (GMT -5)
Call the doc and ask for Pyridium.. turns your pee bright orange and takes the sting away. Add Flomax and all should be bearable. Good luck. -JR
Posted 2/25/2018 12:06 PM (GMT -5)
Hello "Brachy Brother's Wife" and welcome. All of us had the burning pee but not for long; day or two. Flomax took care of my slow drain but gave me side effects far worse than the BT. Read the Flomax instructions and please be aware of it's side effects! I will recommend walking and lots of it. Walking got rid of the fake poops, groin pain, fake pees, etc. As others have stated, stay in touch with your RO and know that things will get better. I wish you and your hubby the very best and please keep us posted.
Posted 2/26/2018 8:28 AM (GMT -5)
I had my 2nd and final HDRBT monotherapy treatment done 4 days ago, and am suffering from the same weak stream / no stream problem, even after AZO and Flomax. I found that I could get relief by simply getting in the shower, relaxing, and letting the warm water massage my back. The main trigger point seemed to be the base of my neck. After about five minutes like that, I suddenly get this huge feeling of relief, and out flows that colorful AZO-tinted urine. I can't guarantee it to work for anyone else, but for me it's worked 6 times in 6 attempts, and that's pretty good odds to me. You may want to give it a try.

Jim
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