Treatment FAQ

what are the disadvantages of radiation treatment for prostate cancer

by Yesenia Senger MD Published 3 years ago Updated 2 years ago
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Side effects can include:
  • Tiredness and weakness. You might feel tired during your treatment. ...
  • Sore skin in the treatment area. Your skin in the treatment area might get sore, or redden or darken. ...
  • Loss of pubic hair. Radiotherapy causes hair loss in the treatment area. ...
  • Problems passing urine. ...
  • Loose or watery poo (diarrhoea)

Full Answer

What are the long term effects of prostate radiation?

  • Increased, looser bowel movements
  • Infertility (For patients in their childbearing years who wish to have children one day, there are options to preserve fertility prior to treatment.)
  • Reduction in bladder capacity
  • Vaginal dryness

What is the best treatment for prostate cancer?

Treating advanced prostate cancer

  • Chemotherapy. Chemotherapy is often used to treat prostate cancer that's spread to other parts of the body (metastatic prostate cancer).
  • Steroids. Steroid tablets are used when hormone therapy no longer works because the cancer is resistant to it.
  • Other medical treatments. ...

What are the after effects of radiation for prostate cancer?

Some of the potential late effects of radiation to the prostate include:

  • Most men will be sterile after radiation treatment for prostate cancer. ...
  • Erectile dysfunction or dry orgasm can occur after radiation therapy. ...
  • Bladder problems, like incontinence (not being able to hold your urine in), hemorrhagic cystitis (causes blood in the urine), urinary tract infections, and bladder cancer may happen. ...

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What are the side effects of radiation therapy?

Some possible late effects are:

  • fertility problems (if you had radiation therapy to the pelvis)
  • heart problems (if you had radiation to the chest)
  • lung problems (if you had radiation to the chest)
  • changes in skin colour
  • mental or emotional problems (if you had radiation to the head and neck or brain)
  • osteoporosis
  • second cancers

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What is the downside of radiation for prostate cancer?

Urinary problems: Radiation can irritate the bladder and lead to a condition called radiation cystitis. You might need to urinate more often, have a burning sensation while you urinate, and/or find blood in your urine. Urinary problems usually improve over time, but in some men they never go away.

What are the long term side effects of radiation for prostate cancer?

Long-term Complications These may include proctitis (rectal inflammation), cystitis (bladder inflammation), urinary or rectal bleeding, narrowing of the rectum or urethra, chronic diarrhea or urinary frequency or urgency, or development of an ulcer in the rectum. All of these can be managed.

What are the negative effects of radiation therapy?

Treatment areas and possible side effectsPart of the body being treatedPossible side effectsBrainFatigue Hair loss Memory or concentration problems Nausea and vomiting Skin changes Headache Blurry visionBreastFatigue Hair loss Skin changes Swelling (edema) Tenderness5 more rows•Jan 11, 2022

What is the success rate of radiation therapy for prostate cancer?

Radiation Therapy: Effective for Prostate Cancer Men with localised prostate cancer who are treated with external-beam radiation therapy have a cure rate of 95.5% for intermediate-risk prostate cancer and 91.3% for high-risk prostate cancer. The 5-year survival rate using this treatment is 98.8% overall.

What is the life expectancy after prostate radiation?

Based on the natural history of localized prostate cancer, the life expectancy (LE) of men treated with either radical prostatectomy (RP) or definitive external-beam radiotherapy (EBRT) should exceed 10 years.

What can you not do during radiation treatment?

Avoid raw vegetables and fruits, and other hard, dry foods such as chips or pretzels. It's also best to avoid salty, spicy or acidic foods if you are experiencing these symptoms. Your care team can recommend nutrient-based oral care solutions if you are experiencing mucositis or mouth sores caused by cancer treatment.

What are 5 harmful effects of radiation?

Here are a few common health effects or harmful effects of radiation on the human body.Hair. Loss of hair fall occurs when exposure to radiation is higher than 200 rems.Heart and Brain. Intense exposure to radiation from 1000 to 5000 rems will affect the functioning of the heart. ... Thyroid. ... Blood System. ... Reproductive Tract.

Is radiation worth the risk?

Benefits and Effectiveness. Radiation therapy (also called radiotherapy) is a highly effective cancer treatment with wide-ranging uses. Radiation therapy leads to cancer cure in many patients (either alone or with other treatments) and relieves symptoms or prolongs survival in more advanced cancers.

What is the most common acute side effect of radiation treatment?

Fatigue is the most common acute side effect of radiation therapy. It is believed to be caused by the large amount of energy that is used by the body to heal itself in response to radiation therapy. Most people begin to feel fatigued about 2 weeks after radiation treatments begin.

Is radiation better than surgery for prostate cancer?

Both radiation and surgery are equally effective treatments to cure prostate cancer." The choice of which treatment is best is up to individual patients and their care teams, Dr. King says. "Make sure you talk with a surgeon and a radiation oncologist before you make your decision.

What are the chances of prostate cancer returning after radiation?

And a study comparing the outcomes of 393 men who received different doses of external beam radiation therapy for prostate cancer, published in the Journal of the American Medical Association, found that 19.6% of those who underwent high-dose radiation therapy experienced biochemical recurrence within five years, while ...

Is radiation a good option for prostate cancer?

Radiation therapy is an effective treatment that kills prostate cancer cells by using high energy rays or particles. The radiation can be delivered in several ways, including brachytherapy (using seeds that are implanted in the patient's body) and external beam radiation that projects the energy through the skin.

What are the side effects of radiation therapy?

In the case of external beam radiation therapy, the possible side effects include bowel problems, related to an irritation of the large intestine and rectum due to radiation (radiation proctitis), bladder problems due to irritation ...

What is radiation therapy for prostate cancer?

There are two main types of radiation therapy for patients with prostate cancer. External beam radiation therapy (EBRT) consists of placing beams of radiation on the prostate gland from a machine outside the body, and it is particularly indicated in early stages of the disease or to help relieve symptoms such as bone pain if ...

How does radiation therapy work?

“Radiation therapy uses high-energy rays or particles to kill cancer cells ,” explain the American Cancer Society. It may be used “as the first treatment for low-grade cancer that is still just in the prostate gland,” which has similar cure rates to radical prostatectomy. But also “as part of the first treatment (along with hormone therapy) for cancers that have grown outside of the prostate gland and into nearby tissues; if the cancer is not removed completely or comes back (recurs) in the area of the prostate after surgery, or if the cancer is advanced, to reduce the size of the tumor and to provide relief from present and possible future symptoms.”

Where is the prostate located?

Radiation Therapy. The prostate is a walnut-sized and shaped gland that is located below men’s bladder, near the rectum and surrounding the urethra. While healthy cells normally divide and die, prostate cells affected by cancer start to grow out of control. Due to the location of the prostate, the disease affects both the urinary ...

Does brachytherapy cause bowel problems?

In the case of brachytherapy, the possible risks and side effects are bowel problems as rectal pain, burning, and/or diarrhea, urinary problems, and erection problems. Note: Prostate Cancer News Today is strictly a news and information website about the disease.

Is radiation therapy effective?

Both external beam radiation therapy and brachytherapy are known to be effective in destroying cancer cells, but there is more long-term data about the positive results with using external beam radiation. Despite the encouraging results, there are potential side effects associated with each type of radiation therapy.

What are the long term effects of radiation?

These may include proctitis (rectal inflammation), cystitis (bladder inflammation), urinary or rectal bleeding, narrowing of the rectum or urethra, chronic diarrhea or urinary frequency or urgency, or development of an ulcer in the rectum.

How long does it take for erectile dysfunction to go down after radiation?

However, radiation therapy has a slower delay in erectile function decline than surgery; 15 years after treatment, the rates are similar to those who underwent surgery.

What is the best imaging for prostate cancer?

MRI is the imaging of choice for local prostate cancer staging and in radiotherapy planning has been shown to reduce target volume and reduce inter-observer prostate contouring variability.

What is external beam radiotherapy?

External beam radiotherapy for prostate cancer is an optimal treatment choice for men with localised prostate cancer and is associated with long term disease control in most patients. Image-guided prostate radiotherapy is standard of care, however, current techniques can include invasive procedures with imaging of poor soft tissue resolution, ...

What type of radiation is used for prostate cancer?

The main types of radiation therapy used for prostate cancer are: External beam radiation. Brachytherapy (internal radiation) (Another type of radiation therapy, in which a medicine containing radiation is injected into the body, is described in Treating Prostate Cancer Spread to the Bone .)

What is the best treatment for prostate cancer?

Brachytherapy (internal radiation therapy) 1 Brachytherapy alone is generally used only in men with early-stage prostate cancer that is relatively slow growing (low-grade). 2 Brachytherapy combined with external radiation is sometimes an option for men who have a higher risk of the cancer growing outside the prostate.

How does proton beam therapy work?

Proton beam therapy focuses beams of protons instead of x-rays on the cancer. Unlike x-rays, which release energy both before and after they hit their target, protons cause little damage to tissues they pass through and release their energy only after traveling a certain distance. This means that proton beam radiation can, in theory, deliver more radiation to the prostate while doing less damage to nearby normal tissues. Proton beam radiation can be aimed with techniques similar to 3D-CRT and IMRT.

Why do you put a balloon between your prostate and your rectum?

Sometimes a balloon-like device or gel is put between the rectum and the prostate before treatment to act like a spacer to lessen the amount of radiation that reaches the rectum. Urinary problems: Radiation can irritate the bladder and lead to a condition called radiation cystitis.

What is EBRT radiation?

In EBRT, beams of radiation are focused on the prostate gland from a machine outside the body. This type of radiation can be used to try to cure earlier stage cancers, or to help relieve symptoms such as bone pain if the cancer has spread to a specific area of bone.

What is IGRT prostate?

Some newer radiation machines have imaging scanners built into them. This advance, known as image guided radiation therapy (IGRT), lets the doctor take pictures of the prostate just before giving the radiation to make minor adjustments in aiming.

What are the side effects of EBRT?

Some of the side effects from EBRT are the same as those from surgery, while others are different. Bowel problems: Radiation can irritate the rectum and cause a condition called radiation proctitis. This can lead to diarrhea, sometimes with blood in the stool, and rectal leakage.

Questions To Ask Your Doctor Nurse Or Radiographer

You may find it helpful to keep a note of any questions you have to take to your next appointment.

What Is A Late Effect

A late effect is a side effect related to a cancer diagnosis or treatment that happens months to years after treatment. Some side effects that you develop during treatment can last for months to years after treatment is completed . These are often called long term side effects.

What Is Radiation Recall

Radiation recall is a rash that looks like a severe sunburn. It is rare and happens when certain types of chemotherapy are given during or soon after external-beam radiation therapy.

Side Effects Of External Radiotherapy

Radiotherapy to the prostate can cause some side effects, such as loose or watery poo and passing wee more often.

What The Results Showed

After five years, there were no significant differences in survival associated with any of the selected treatments. Just one man in the favorable risk category died from prostate cancer during the study, and there were eight deaths from the disease in the unfavorable risk group.

Will My Diet Affect My Treatment

Yes. Good nutrition is an important part of recovering from the side effects of radiation therapy. When you are eating well, you have the energy to do the activities you want to do, and your body is able to heal and fight infection. Most important, good nutrition can give you a sense of well-being.

What Are The Advantages And Disadvantages Of External Beam Radiotherapy

What may be important for one person might not be so important for someone else. If youre offered external beam radiotherapy, speak to your doctor, nurse or radiographer before deciding whether to have it. They can tell you about any other treatment options and help you decide if radiotherapy is right for you.

How to diagnose prostate cancer?

To diagnose prostate cancer, the urologist will perform a prostate biopsy. This provides a sampling of what is going on in the prostate. Based on this assessment, we will tell you what stage your prostate is in. When surgery is performed, now the whole prostate is able to be evaluated to give the full Gleason Score (or Grade Group).

How long does it take for a prostate to heal after surgery?

It is very common to have leakage in the beginning after the surgery . The healing from this can take several months. There is also a subset of men who will have some degree of leakage that is permanent. On the other hand, having an enlarged prostate can lead to bothersome symptoms for men at baseline.

Can you have radiation if you have colon cancer?

Prior radiation history. Your body can only tolerate a certain amount of radiation over the course of your lifetime. So, if you have had prior radiation in that region (most common example would be a colon cancer) than repeat radiation is not an option and you would need to have surgery to treat the prostate cancer.

Can radiation cause urinary problems?

Potentially worsening your urinary symptoms. For patients that have bothersome urinary symptoms at baseline, they are not the best candidates for radiation. The reason for this is that your prostate symptoms can worsen after radiation treatment. Additionally, doing a surgery to help with the urinary symptoms after radiation carries higher surgical ...

Can a prostate enlarged prostate cause bad urinary symptoms?

On the other hand, having an enlarged prostate can lead to bothersome symptoms for men at baseline. There are many men who need to take medications and even have surgery to improve their urination. For these men, they will oftentimes see a benefit from urination after the prostate is removed. Additionally, for people who have bad urinary symptoms ...

Can a robotic prostatectomy detect prostate cancer?

So in essence, with a robotic prostatectomy you are getting a more accurate characterization of your cancer level.

Is there downtime for radiation treatment?

For external beam radiotherapy, there is no surgical or procedure intervention. So, there is less downtime than if you have surgery . So, I have seen some patients who are self-employed that are worried about the downtime that comes from surgery and for these folks the radiation treatment can be more appealing.

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