II. Indications
- Localized Prostate Cancer (Stages A to C)
III. Technique
- External beam radiation applied daily for 4 to 6 weeks
IV. Efficacy:
- First 10 years: As effective as Radical Prostatectomy
- After 10 years: Tumor recurrence may be more rapid
V. Advantages over Radical Prostatectomy
- Well tolerated outpatient therapy
- No surgical risks of bleeding or Anesthesia
VI. Disadvantages compared with Radical Prostatectomy
- No hisotologic data from Prostate tumor
- No Lymph Node data for Prostate Cancer Staging
VII. Adverse Effects
- Acute irritative uropathy for first 3 months
- Urinary urgency
- Dysuria and Pelvic Pain
- Urinary Frequency
- Urinary Incontinence (1%)
- Impotence (30 to 50%)
- Rectal irritation (3 to 10%)
- Diarrhea
- Stool Urgency
- Tenesmus
- Rectal Bleeding