Preparation for Bladder Radiation Therapy

Your doctor has recommended that you prepare your bladder and bowel, which involves emptying or filling your bladder, as well as emptying your bowels.


Benefits of bladder preparation

Bladder preparation is important as it helps minimize the side-effects of your treatment. Filling your bladder to a specific size keeps it small, reducing the radiation area, and maintaining its position each day, which ensures treatment accuracy. The diagram below demonstrates how bladder size affects the size of the treatment area.

The bladder is small sized.

The treatment area is smallest.

The bladder is medium sized.

The treatment area is larger.

The bladder is large sized.

The treatment area is largest.

Your radiation oncologist will determine the optimal level of fullness for your bladder, with the goal of maintaining the same level of fullness throughout your treatment.


How to prepare your bladder

If your doctor has asked for your bladder to be empty for your radiation appointments:

  1. Avoid having any fluids 4 hours before your appointment.

  2. Empty your bladder just before your appointment.


Benefits of bowel preparation

As your bowel/rectum fills and empties with gas or solids, your bladder may shift position. By emptying your bowel before treatment, you can help keep your bladder stable and ensure that radiation is delivered to the correct area. This can minimize certain side-effects of your treatment. The goal is to maintain the same level of bowel emptiness throughout your treatment.

Without gas or matter in the bowel.

All of bladder is inside the green treatment area.

All of bowel is outside the green treatment area.

With gas or matter in the bowel.

Some of the bladder is outside of the green treatment area.

Some of the bowel is inside the green treatment area.


How to prepare your bowels

Your doctor may recommend a stool softener to aid in your treatment. This medication can be obtained over-the-counter at your local pharmacy, and it is essential to follow the dosage instructions provided by your doctor to ensure its effectiveness.

In addition to this, going for short walks and consuming 6-8 cups of water daily can also be beneficial for your treatment and bladder preparation.


Frequently asked questions

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