Can prostate still bleed after Radiation Treatments (HDRBT and IMRT)?

[akaipop3ps]

I remember reading that prostate becomes hard as a rock once fried by HDRBT and IMRT, if this is accurate, can it still bleed?

Does it shed any tissue or fiber that comes out through urination?

Asking because in addition to having blood in my urine I urinated couple of good size of blood clots (almost 1cm.) that did not look like hardened blood but more of a tissue.

Appointment with a urologist specializing in bladder cancer is set for February 2nd, cystoscopy will probably not work due to stricture but hoping for a CXBladder test. First consultation may only result in scheduling tests and probably not much else.

Thanks,

AKSI

[Tall_Allen]

Yes, it will slough off dead tissue and bleed. If you've ever gotten a bad sunburn and tissue sloughed off, you will understand what's going on. Do NOT have a cystoscopy this soon after radiation - that's just asking for trouble.

[akaipop3ps in reply to Tall_Allen]

Thank Allen, my Radiation Therapies were done in late 2017. I was just wondering if it can still bleed and shed tissues or fiber long after the treatments. Sorry for not being clear about when the treatments were completed.

[Tall_Allen in reply to akaipop3ps]

Yes, I still have tissue slough off 10 years after treatment. It is always transient for me.

[Pheart2 in reply to Tall_Allen]

Thank you so much Tall_Allen. I had radiation done exactly one year ago. And just a few weeks ago (only one time) I saw some tissue and I was so scared but after reading your post I am relaxed now. Thank you.

[akaipop3ps]

Can it still bleed though?

[akaipop3ps]

Just an update, hopefully the information can benefit others with the same question in the future.

Had my cystoscopy Friday and below is the Findings,

Urethra appeared normal upon entry. We identified a narrow white fibrotic stricture that spanned approximately 5 to 10 mm in length. It did easily accommodate our 7 French scope. Along the prostatic urethra we identified numerous telangiectasias and small calcifications as well as texture changes consistent with radiation. He had approximately 2-3 centimeters of lateral lobe occlusion. His median lobe showed no enlargement. The bladder mucosa was thoroughly examined using antegrade and retroflexion. There were no masses or lesions identified. Bladder washings were sent for cytology.

So, I think the prostate can still bleed after radiation treatments (IMRT+HDRBT) as tiny blood vessels still exist.

Akai