Prostate cancer
Posted: Sun Jun 14, 2026 7:14 pm
Hello everyone,
I had been monitored for a long time for my prostate due to some urinary issues but mainly because of family history.
With PSA levels gradually rising, an MRI and a biopsy confirmed what I feared: I had prostate cancer.
Because it was still localized, the doctors initially recommended active surveillance. The tumor was spreading slowly but steadily. Action was needed—either a radical prostatectomy or stereotactic radiotherapy.
I'm still young (under 50) and didn't feel ready for a radical prostatectomy, especially since I never had excellent urinary continence. I was afraid of worsening that incontinence. I just completed radiotherapy. Since then my incontinence has unfortunately worsened. Previously I mainly needed protection at night (let’s call it what it is — adult diapers); during the day pads were enough. Now I’m completely incontinent day and night. Urination has also become more painful, so I’m taking tamsulosin to reduce the pain, which doesn’t help my incontinence.
I know many of you have had a prostatectomy, but did any of you choose radiotherapy? Who is taking tamsulosin? Did it also worsen your incontinence?
Kind regards
Robin
I had been monitored for a long time for my prostate due to some urinary issues but mainly because of family history.
With PSA levels gradually rising, an MRI and a biopsy confirmed what I feared: I had prostate cancer.
Because it was still localized, the doctors initially recommended active surveillance. The tumor was spreading slowly but steadily. Action was needed—either a radical prostatectomy or stereotactic radiotherapy.
I'm still young (under 50) and didn't feel ready for a radical prostatectomy, especially since I never had excellent urinary continence. I was afraid of worsening that incontinence. I just completed radiotherapy. Since then my incontinence has unfortunately worsened. Previously I mainly needed protection at night (let’s call it what it is — adult diapers); during the day pads were enough. Now I’m completely incontinent day and night. Urination has also become more painful, so I’m taking tamsulosin to reduce the pain, which doesn’t help my incontinence.
I know many of you have had a prostatectomy, but did any of you choose radiotherapy? Who is taking tamsulosin? Did it also worsen your incontinence?
Kind regards
Robin