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Prostate Radiotherapy
Aka: Prostate Radiotherapy, External Beam Prostate Radiotherapy
- See Also
- Prostate Seed Implant Radiotherapy
- Indications
- Localized Prostate Cancer (Stages A to C)
- Technique
- External beam radiation applied daily for 4 to 6 weeks
- Efficacy:
- First 10 years: As effective as Radical Prostatectomy
- After 10 years: Tumor recurrence may be more rapid
- Advantages over Radical Prostatectomy
- Well tolerated outpatient therapy
- No surgical risks of bleeding or Anesthesia
- Disadvantages compared with Radical Prostatectomy
- No hisotologic data from Prostate tumor
- No Lymph Node data for Prostate Cancer Staging
- 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
- References
- Middleton (1996) CA Cancer J Clin 46(4):249-53 [PubMed]
- Naitoh (1998) Am Fam Physician 57(7):1531-9 [PubMed]
- Williams (1996) Postgrad Med 100(3): 105-20 [PubMed]