Treatment of Incomplete Bladder Emptying Symptoms due to Prostate Enlargement in Men After Pelvic Radiation Therapy

by Dr. Alex Shteynshlyuger, a board-certified urologist and specialist in the treatment of urinary problems in men and women including frequent urination, burning with urination and urinary retention.  

BPH Symptoms after Pelvic Radiation in Men

Pelvic radiation is most commonly used in men for the treatment of prostate cancer and bladder cancer.  These cancers typically occur in older men. Pelvic radiation is also used to treat penile cancer, testicular cancer, sarcoma, colo-rectal, and anal cancers in men.  Older men also often have enlarged prostate and the underlying symptoms of BPH, such as urinary frequency, slow urine stream, and incomplete bladder emptying.

Radiation therapy can aggravate pre-existing symptoms of BPH. It may also cause new urinary symptoms in patients who previously did not experience them. Sometimes, prostatic swelling can be severe enough to cause urinary retention with the inability to urinate in men.

Evalution of Men with Urinary Problems after Pelvic Radiation Therapy

 For men who experience frequent urination, slow urine stream, or difficulty urinating after radiation therapy, a bladder ultrasound with postvoid residual should be obtained to make sure that the bladder empties adequately.

Urinalysis and urine culture should be performed to exclude urinary tract infection.

Treatment of Urinary Problems in Men with Enlarged Prostate after Radiation Therapy

Medications such as Flomax, Uroxatral, and Rapaflo are effective for the treatment of urinary symptoms attributable to an enlarged prostate in men who have undergone radiation therapy for bladder cancer, prostate cancer, or rectal cancer.  Finasteride (Proscar) can also be used to shrink the prostate and lessen urinary symptoms.

Men should be screened for symptoms of BPH before initiating radiation therapy to the pelvis. In men who develop significant symptoms of an enlarged prostate, alpha blockers are very effective, and most men experience significant improvement in symptoms within 1-2 weeks of starting the medications.

For men who cannot tolerate medications such as Flomax and Uroxatrol or do not wish to take them, minimally invasive therapy such as Urolift procedure for BPH and Rezum therapy are available.

For men who are unable to urinate after radiation therapy and require urethral catheterization, prostate enucleation, as well as bipolar TURP, are effective treatment options.

If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call/text: 646-663-4151

Urinary Problems Are Treatable in Nearly Every Man and Woman


At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of urinary problems.  We understand the challenges that urinary problems create for our patients, their relationships and their self-esteem.  We help you find a treatment for your urinary problems that fit your needs, lifestyle, and your preferences.

Urologists are doctors specializing in the treatment of women and men with frequent urination, poor urine flow, frequent UTI, blood in urine, urinary incontinence, urinary problems caused by an enlarged prostate, prior surgery, neuropathy, chemotherapy, and radiation. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man and women who desire an effective treatment for their urinary problems. We specialize in minimally invasive highly effective treatment for symptoms of bladder pain, urethral burning, pelvic discomfort, incomplete bladder emptying, urinary frequency, and urgency.

We offer medical and surgical treatment for erectile dysfunction.

Why Choose New York Urology Specialists for Treatment of Urinary Problems?

  • All treatment is performed by a board-certified urologist experienced in treating men with symptoms of frequent urination, urinary urgency, urinary incontinence and bladder pain using medical therapy, minimally invasive therapies, lasers, and open surgery.
  • We are one of the few practices in the region to offer a full range of options for treatment of urinary problems in men and women
  • We offer treatment options for overactive bladder, UTI and urinary incontinence in our office which avoids the risks, costs, and recovery from general anesthesia.  
  • Extensive Experience: Hundreds of men and women have treated successfully using medical therapy, Botox for overactive bladder, Interstim for frequent urination and tibial neuromodulation.

We Treat Some of the Most Complex Health Problems in Men and Women Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call or text today: (646) 663-4151 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship trained board-certified urologist with expertise in evaluation and treatment of urological problems in men using modern effective and proven treatment methods including Botox for OAB, Interstim neuromodulation, Rezum for BPH, prostate enucleation, and Urolift procedure.  

He has successfully treated hundreds of men and women of all ages with urinary problems including bladder problems, kidney problems, urethral and ureteral problems. 

He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.


If you have any questions about testicular prosthesis treatment, schedule a consultation, contact us or call/text: 1-(646) 646-4151.  We have excellent reviews from patients and their partners. 

Dr. Alex Shteynshlyuger is a board-certified urologist, who specializes in all aspects of care for men and women with urinary problems including frequent urination, difficulty emptying the bladder, urinary urgency, and incontinence.  He has successfully treated hundreds of men and women with urinary problems including urinary retention, painful urination, and frequent urination.


Dr. Alex Shteynshlyuger is a fellowship trained board-certified urologist with expertise in evaluation and treatment of urinary, bladder, kidney and ureteral problems in men and women.  He uses modern effective and proven treatment methods. He is highly recommended by doctors and patients alike. 

He has successfully treated hundreds of men of all ages with kidney, bladder, urethral and sexual problems.