Preparing for High Dose Rate (HDR) Prostate Radiation
Before the Procedure
Please start a clear liquid diet 12 hours before
the scheduled start of the procedure. Clear
ξ Jello® that is prepared from the box
ξ Black tea or coffee without cream or
ξ Clear juices, like apple or grape.
Note: Juices with pulp (orange,
lemonade, etc.) are not clear liquids.
ξ Gatorade or similar sports drinks.
Nothing to eat or drink 4 hours prior
to start of procedure.
ξ If there are any medicines to take the
morning of procedure, take with a sip of
Please give yourself a Fleets phosphate enema
the night before the procedure. Follow the
directions on the package. This can be bought
over the counter at any pharmacy.
Lab Work and Tests
You will need blood work within 30 days of the
procedure. You will also need and an EKG
within 6 months of the procedure. These can be
done at any clinic. The Radiation Oncology
nurse will set these up with you.
A history and physical exam is also needed
before the procedure. This can be done at your
local doctor’s office. If you are also being
treated with external beam radiation prior to the
High Dose Rate (HDR) procedure, the radiation
oncologist may be able to do this. Again, the
radiation oncology nurse will set this up with
You will be given a list of medicines that are
safe to take, or what medicines need to be held
the day of procedure. Please follow these
directions or your procedure may be cancelled.
If you have any questions about the list, please
call our clinic. Also, please call if you have
started any new medicines not on the list sent to
We may start a medicine called Flomax
(tamsulosin) a few days before the procedure.
This helps control side effects of reduced urine
After the procedure
ξ Avoid hot tubs, pools, or outdoor water
sources for 2 weeks after the procedure.
This is to prevent infections. Showers
and sponge bathing are OK.
ξ Avoid activities that put stress on the
perineal area for 2 weeks, like biking,
horseback riding, motorcycling, etc. Sit
on a pillow if you do a lot of driving.
This will help the area to heal.
ξ It is OK to return to most types of work.
We can provide work excuses if needed.
Please let us know.
ξ Avoid sexual activity for at least 2 weeks
after the procedure. You will notice
blood or dried blood in the semen. This
is normal and will clear up over time.
ξ Listen to your body. If something causes
you pain, don’t do it.
ξ We will prescribe an antibiotic for a few
days after the procedure. This will start
the evening of the procedure. We will
call this in to your pharmacy.
ξ We want you to avoid blood thinning
medicines like Aspirin for a week after
the procedure. We also advise you to
avoid Non-Steroidal Anti Inflammatory
Drugs (NSAIDS like Ibuprofen or
Naproxen for a week after the procedure.
This will reduce the chance of bleeding.
ξ Usually pain after this procedure is mild.
You may use Tylenol (Acetaminophen)
as directed. If you are still having pain,
You will be asked to make a follow up
appointment in 3 months after the final
procedure. We will do lab work to get a PSA at
that time. If you have any questions or concerns
before that time, please all.
If you have any questions about the upcoming
procedure, please call 608-263-8500.
Your health care team may have given you this information as part of your care. If so, please use it and call if you have any
questions. If this information was not given to you as part of your care, please check with your doctor. This is not medical
advice. This is not to be used for diagnosis or treatment of any medical condition. Because each person’s health needs are
different, you should talk with your doctor or others on your health care team when using this information. If you have an
emergency, please call 911. Copyright © 12/2016 University of Wisconsin Hospitals and Clinics Authority. All rights reserved.
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