What should you expect with brachytherapy after your total hysterectomy?
Brachytherapy is internal radiation therapy where a cylinder-shaped applicator (similar in size to a tampon) is placed into your vagina during treatment sessions. The applicator is connected to a machine that delivers radiation directly to the Show Full Answer
What should you expect with brachytherapy after your total hysterectomy?
Brachytherapy is internal radiation therapy where a cylinder-shaped applicator (similar in size to a tampon) is placed into your vagina during treatment sessions. The applicator is connected to a machine that delivers radiation directly to the treatment area.
Each session typically lasts 10 to 20 minutes. You'll likely receive at least three doses of brachytherapy, either once a day or once a week, depending on your specific treatment plan.
Most people can go home soon after each treatment since it's usually given in an outpatient setting. Inserting the applicator usually isn't painful, but you might feel some pressure or discomfort during placement. Possible side effects to watch for:
The most common short-term side effect is radiation vaginitis, where the vaginal lining becomes irritated, causing discomfort and vaginal discharge. Side effects may not appear right away but can start within two weeks of treatment.
You may also experience:
- Light bleeding or cramping
- Irritation in the bladder or rectum (though less common with brachytherapy than external beam radiation)
Long-term side effects can include vaginal dryness or changes to vaginal tissue. Your radiation oncologist can provide guidance on managing any side effects that develop.
November 10, 2025
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