had low dose brachytherapy 4 weeks ago. Any suggestions on how best to deal with urinary problems particularly at night

[Jprostate]

had low dose brachytherapy 4 weeks ago. Any suggestions on how best to deal with urinary problems particularly at night

[Tall_Allen]

Alpha blocker (I liked Rapaflo) and NSAIDs.

[Jprostate in reply to Tall_Allen]

Thanks. Finding that 400 mg ibuprofen a day fits the bill and together with tamsulosin basically gets rid of painful urination. Main concern now is I hope that a few months of this isn't so long that I have side effects from the ibuprofen. Keeping dose on low side

[Tall_Allen in reply to Jprostate]

You can take omeprazole (available over-the-counter) to prevent gastric SEs from NSAIDs. I only needed it for a few weeks until the inflammation subsided.

[Jprostate in reply to Tall_Allen]

interesting. I’ll look into that. Thanks

[cdj70]

Since you don't say, I'm assuming frequency is your problem at night. My symptom intensity seemed peaked at 1 month post LDR with frequency and difficulty initiating that eventually we found I had a UTI that had me going sometimes every 15 minutes and up 2-3x/night. To help with the initiation, I found sitting seemed to line things up better to get flow going, but also had to push up my alpha blocker dose with dr direction for about 6 more wks past where you are. You'll get through it.

[Jprostate in reply to cdj70]

Thank you for your input. I tried aleve which didn't help but I'm just finding that 200mg ibuprofen around 6pm and 200 mg at bedtime is working very well to prevent urination pain and this gets me through the night. Looking forward to around third month.

[conbio]

Hey - Been there. I had 24 sessions of EBRT and two weeks later my brachy. I slowly started having issues and was prescribed 0.4 mg of tamulosin - one dose in morning, one at night. I tried Rapaflo and it made things worse, so went back to tamulosin. The best advice I get was to take both doses before I went to bed.

It was a pain. Even with tamulosin I was getting up 5-7 times a night for about 6 weeks before things started to quiet down. I wish someone would have just said straight up - "This is going to be difficult for about 2 months, and then ease off." Lack of sleep, w/o knowing the duration is a pain.

Anyway - I stayed on tamulosin, easing off to 1 dose a day for almost a year after brachy and now I'm off and sleep well. Hang in there, it will ease off.

[Jprostate in reply to conbio]

Thank you. Im taking 2 tamulosin in the evening and Ive just found out that taking 200 mg Ibuprofen in evening and again at bedtime overcomes the urination pain.Thanks for your encouagement