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THE BARRIGEL SPACER™ BLOG

Prostate Cancer Treatment Is About More Than Survival; It’s Also About Protecting Quality of Life 

Dr. Zachary Piotrowski | Urology Associates of Denver

By Dr. Zachary Piotrowski,
Urology Associates of Denver 

A prostate cancer diagnosis can be a shock.

Suddenly, something that may have felt far away becomes a series of decisions about biopsies, treatment options, and what comes next.

Fortunately, for many men, there is a treatment plan. But as a physician, I believe an important part of that conversation is looking beyond treatment itself and asking a bigger question: What do you want life after prostate cancer treatment to look like?

Often, the answer is simple. They want to get back to the life they had before their diagnosis. They want to travel, spend time with their families, stay active, and continue doing the things that make their lives fulfilling.

With prostate cancer having an overall 98% survival rate at five years,1 quality of life should be part of the treatment conversation from the beginning.

 

I encourage men to think about more than simply getting through treatment.

 

Treating the Cancer While Considering What Matters to Patients

Radiation therapy can be an effective treatment for prostate cancer, but the prostate sits directly next to the rectum. Because of that close proximity, radiation intended to treat the prostate can also reach the surrounding healthy rectal tissue. This can potentially cause bowel problems such as rectal pain, hemorrhoids, and diarrhea.2

For patients who are considering radiation, I believe this is an important conversation to have: How can we treat the cancer while also taking reasonable steps to reduce radiation exposure to the rectum?

This is where a rectal spacer can play an important role.

Barrigel™ spacer is a temporary, injectable gel made from hyaluronic acid, which is found naturally in the body.3-5 It is designed to create additional space between the prostate and rectum before radiation treatment.5 By increasing that separation, Barrigel spacer can help reduce the amount of radiation delivered to the rectum and may help reduce the risk of certain radiation-related bowel side effects.6

A Patient Who Wanted to Keep Living His Life

I saw this perspective firsthand with a patient named Bob.

Bob had been proactive about his health for years, including routine PSA screening. After his PSA gradually increased, an MRI-guided biopsy confirmed prostate cancer. He initially chose active surveillance before ultimately deciding with his medical team that it was time to move forward with radiation therapy.

 

This is where a rectal spacer can play an important role.

 

Throughout the process, Bob remained focused on more than his cancer diagnosis. He is an active retiree who enjoys cycling, hiking, and playing pickleball with his wife. He wanted to understand how treatment decisions and potential side effects could affect his daily activities.

When Bob came to me to discuss his treatment, we talked about Barrigel spacer and how it could help protect the rectum from unnecessary radiation exposure.6 He asked thoughtful questions, considered his options, and ultimately decided that placing a rectal spacer was the right choice for him.

His Barrigel spacer procedure was straightforward, and he reported no pain during or after placement. He also did not experience urinary or bowel symptoms during his radiation treatments.

After completing treatment, Bob was eager to get back to his normal routine. 

Bob and his wife living their best lives after prostate cancer treatment, including a Barrigel rectal spacer

 Dr. Pitrowski's Patient: Bob and his wife enjoying life 

Today, he is back to cycling, hiking, and playing pickleball, while continuing to spend time with his wife, children, and grandchildren.

Think Beyond the Treatment Plan

Every prostate cancer patient is different, and there is no single treatment approach that is right for everyone. But regardless of the treatment path, I encourage men to think about more than simply getting through treatment.

Ask yourself: What do I want my life to look like after prostate cancer?

If being active, traveling, spending time with family, or simply returning to your normal routine is important to you, tell your care team. Those priorities should be part of the conversation when you’re evaluating your treatment options.

For men considering radiation therapy, that conversation can include whether a rectal spacer like Barrigel spacer is appropriate. Taking steps to reduce radiation exposure to surrounding healthy tissue can be an important part of planning not only for cancer treatment, but for the life that comes afterward.

As with any medical procedure, rectal spacers may not be appropriate for every patient. Individual results may vary.

 

Dr. Piotrowski is a urologist with Urology Associates in the Denver area. A graduate of Drexel University College of Medicine, he completed his urology residency at Temple University Hospital, with additional training at Fox Chase Cancer Center. His practice includes general urology, BPH, kidney stones, robotic surgery, and urologic cancers. 

 

References

    1. American Cancer Society. Survival Rates for Prostate Cancer. Accessed: January 1, 2026. https://www.cancer.org/cancer/types/prostate-cancer/detection-diagnosis-staging/survival-rates.html

    2. Oncolink. Possible Side Effects of Radiation Treatment for Prostate Cancer. Abramson Cancer Center, University of Pennsylvania. Apr2025; https://www.oncolink.org/cancers/prostate/treatments/possible-side-effects-of-radiation-treatment-for-prostate-cancer

    3. Barrigel Injectable Gel Instructions for Use (2022).

    4. Q-Med. Nasha- the Monograph. 2001.

    5. Svatos M, Chell E, Low DA et al. Med Phys (2024).*§

    6. Mariados NF, Orio PF III, King MT et al. JAMA Oncol (2023).*§

    *Study sponsored by Palette Life Sciences, now part of Teleflex.

    §One or more authors have/had a financial relationship with Teleflex.

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