
Prostate Cancer Radiation Side Effects
- Intestinal Side Effects. According to the ACS, this is more common with older forms of external beam radiation, where the source of radiation is placed outside the body.
- Urinary Side Effects. ...
- Impotence. ...
- Other Side Effects. ...
- Frequent urination.
- Difficult or painful urination.
- Blood in the urine.
- Urinary leakage.
- Abdominal cramping.
- Diarrhea.
- Painful bowel movements.
- Rectal bleeding.
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 happens to the prostate after radiation?
What Are The Side Effects Of Brachytherapy
- Frequent urination or urinary retention or burning with urination
- Erectile dysfunction
- Urethral stricture or narrowing of the urethra
- Diarrhea or blood in the stool
- Secondary cancers
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
How long do prostate radiation side effects last?
Your PSA level may actually rise after radiotherapy treatment, and then fall again. How long do prostate radiation side effects last? After completing external beam radiation therapy (EBRT), urinary and bowel side effects may persist for two to six weeks, but they will improve over time.

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.
How long do side effects of radiation therapy for prostate cancer last?
After completing external beam radiation therapy (EBRT), urinary and bowel side effects may persist for two to six weeks, but they will improve over time. You may need to continue some medications. Some patients report continued, though lessening fatigue for several weeks after treatment.
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 happens after radiation therapy for prostate cancer?
Radiotherapy to the prostate can cause some side effects, such as loose or watery poo (diarrhoea) and passing wee (urine) more often. Side effects tend to start a week or 2 after the radiotherapy begins. They gradually get worse during the treatment and for a couple of weeks after the treatment ends.
What are the disadvantages of radiation therapy?
What are the disadvantages? Radiotherapy can cause side effects, including tiredness, sickness and runny poo (diarrhoea). If you have chemoradiotherapy, you may get side effects from the chemotherapy.
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 is life expectancy after radiation therapy?
Median follow-up time for this report was 41 months (range=14.6-59.0). Following treatment with stereotactic radiation, more than eight in ten patients (84%) survived at least 1 year, and four in ten (43%) survived 5 years or longer. The median overall survival (OS) time was 42.3 months.
Can a prostate grow back after radiation?
Defining biochemical recurrence This is because after radiation therapy the prostate gland remains intact and can recover some function. This is also true if you received hormone therapy as part of your radiation treatment: As you recover, testosterone levels rise, and so does your PSA.
What is a normal PSA level after radiation?
Recent studies have shown that for optimal results, PSA levels should be lower than 1 ng/ml, and even lower than 0.5 ng/ml. Levels that are above 1 or 2 ng/ml 12 to 18 months following completion of radiation treatments are very worrisome, because they indicate that the cancer may not have been eradicated.
What are the most common side effects of radiation therapy for prostate cancer?
Potential side effects of external beam radiation therapy for prostate cancer may include:Frequent urination.Difficult or painful urination.Blood in the urine.Urinary leakage.Abdominal cramping.Diarrhea.Painful bowel movements.Rectal bleeding.More items...•
Does radiation therapy destroy the prostate?
There is a slightly higher chance that patients who receive the combined therapy (brachytherapy and external beam radiation) will have rectal irritation or urinary side effects. This is common with prostate cancer radiation therapy because the radiation can damage cells in the tissues surrounding the prostate.
What is the treatment for prostate cancer?
Prostate Cancer: Radiation Therapy . Radiation therapy, also called X-ray therapy, uses high levels of radiation to kill prostate cancer cells or keep them from growing and dividing, while minimizing damage to healthy cells. Radiation can be produced from a machine outside the body (external radiation) and directed right at ...
How long does radiation therapy last?
External radiation therapy requires regular sessions (generally five days per weeks) during a period of about five to eight weeks. For each treatment, the radiation therapist will help you onto the treatment table and into the correct position.
What is 3D conformal radiation?
3-D conformal radiation therapy uses CT-based treatment (CT is short for computed tomography, which uses X-rays to produce detailed pictures inside the body ) combined with three-dimensional images of a prostate tumor.
How does radiation affect skin?
During your treatment, radiation must pass through your skin. You may notice some skin changes in the area exposed to radiation. Your skin may become red, swollen, warm, and sensitive, as if you have a sunburn. It may peel or become moist and tender.
Why does radiation cause diarrhea?
Diarrhea, though uncontrolled diarrhea is rare. Because the radiation beam passes through normal tissues, such as the rectum, bladder, and intestines on its way to the prostate, it kills some healthy cells. This is why diarrhea may result.
Where does radiation come from?
Radiation can be produced from a machine outside the body (external radiation) and directed right at the prostate or by putting materials that produce radiation (radioisotopes) through thin plastic tubes into the cancer-infected area (internal radiation or brachytherapy). Internal radiation therapy places radioactive implants directly into ...
What is CT scan for radiation?
All patients have a CT scan specifically for radiation therapy treatment and planning. The CT data is electronically transferred to the 3-dimensional treatment planning computer. The doctor defines the area to be treated along with surrounding areas, such as the bladder, rectum, bowel, and bones.
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.
Why is radiotherapy used for cancer?
Where curing the cancer is impossible, radiotherapy is used to reduce the symptoms such as pain caused by cancer tumor. It can also be used to prevent the problems that result from cancer tumor such as loss of bowel and bladder control, blindness etc. Here are different types of radiations and how they work:
How does radiation therapy work?
Radiation therapy works by use of high doses of radiation to kill or slow down its growth rate. In prostate cancer treatment it is used to kill the cancerous cells or slow the growth rate. It also kills the nearby healthy cells as it kills the cancerous cells. Where curing the cancer is impossible, radiotherapy is used to reduce ...
What is EBRT prostate?
External Beam Radiation Therapy (EBRT) In this type of therapy, a machine outside the body is used to focus the beams of radiation on the prostate gland. It is used to treat early stages of cancer and helps to relieve you from symptoms such as pain.
What is prostate cancer?
Prostate cancer is a serious condition of the prostate gland that affects the elderly men. It is accompanied by various symptoms that are undesirable and frustrating to deal with. If untreated, it leads to the death of the prostate cancer patient. To prevent the undesirable effects of prostate cancer, there are various treatment procedures ...
What is the treatment for cancer called?
This therapy, also known as radiotherapy, is a cancer treatment procedure that uses high doses of radiation to kill cancerous cells and shrink the tumor as well. At low doses, this procedure is used as an x-ray.
When to use a syringe for prostate cancer?
After the reoccurrence of cancer in the area, it was before surgery. To keep cancer under control and relieve you from the symptoms for as long as possible if the cancer is advanced.
Does radiation kill prostate cancer?
For internal therapy, the radiations are placed inside your body inside or near the cancer. For radiotherapy for prostate cancer, high-energy rays are used to kill the cancer cells. This treatment procedure does not cause pain. However, it may result in various side effects that might cause pain and make you feel uncomfortable.
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.
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.
Radiation Therapy In Advanced Disease
Some forms of radiation therapy, like external radiation therapy and radiopharmaceuticals, can help with advanced prostate cancer. One type of external radiation therapy is used along with hormone therapy to treat cancer that has spread outside the prostate to nearby tissue.
What Will I Learn By Reading This
You and your doctor may be talking about using IMRT to treat your prostate cancer. It is important for you to learn about IMRT so that you will know what to expect and how best to take care of yourself before, during, and after treatment. In this booklet, you will learn about the following:
If Youre Getting Radiation Therapy To The Breast
If you have radiation to the breast, it can affect your heart or lungs as well causing other side effects.
Who Should Consider Taking Radiopharmaceuticals
Radiopharmaceuticals are given through a vein to men with metastatic prostate cancer that has spread widely to the bone. Strontium89 and Samarium-153 are radiopharmaceuticals given to reduce the pain caused by the bone cancer. Radium-223, or Xofigo®, is a radiopharmaceutical given to prolong life.
Stereotactic Body Radiation Therapy Or Stereotactic Ablative Radiotherapy
This type of therapy is used to deliver high doses of radiation to a precise area in the prostate using specialized techniques not achievable by standard conventional radiation therapy.
What Are The Side Effects Of Hormone Therapy For Prostate Cancer
Because androgens affect many other organs besides the prostate, ADT can have a wide range of side effects , including:
The Sequence Of Hormonal Therapy And Radiation Affects Outcomes In Men Treated For Prostate Cancer
By Charlie Schmidt, Editor, Harvard Medical School Annual Report on Prostate Diseases
During Treatment For Advanced Prostate Cancer
When treatments such as hormone therapy, chemotherapy, or immunotherapy are used for more advanced prostate cancer, the PSA level can help show how well the treatment is working or when it might be time to try a different treatment.
What Is Intermittent Adt
Researchers have investigated whether a technique called intermittent androgen deprivation can delay the development of hormone resistance. With intermittent androgen deprivation, hormone therapy is given in cycles with breaks between drug administrations, rather than continuously.
What Are The Side Effects Of External Beam Radiation Therapy
As with most prostate cancer treatments, external beam radiation therapy can also cause side effects. The severity can depend on the type of radiation, dose size, length of treatment and area of treatments. These frequently include:
What Are The Different Types Of Internal Radiation Therapy
Brachytherapy and radiopharmaceuticals are both considered internal radiation therapies because they both work after being inserted inside the body, rather than being directed from outside. However, the similarities mostly end there. Brachytherapy works by implanting radioactive material into the prostate and is used for localized prostate cancer.
Tips To Get The Most From Your Follow
It’s easy to forget what you want to say once youre at your appointment.
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.
Q: What Are The Different Types Of Radiation Therapy For Prostate Cancer
There are several forms of radiation therapy, but they can be broken down into two main categories:
What are the side effects of radiation therapy for prostate cancer?
Potential side effects of external beam radiation therapy for prostate cancer may include: Sexual dysfunction, including diminished erectile function or decrease in the volume of semen. Most of the side effects are mild and tolerable. Some side effects may develop months to years later.
How does radiation kill prostate cancer?
External beam radiation for prostate cancer kills cancer cells by destroying the genetic material that controls how cells grow and divide. Healthy cells in the beam's path also are affected by external beam radiation therapy, resulting in side effects. The goal of external beam radiation for prostate cancer is to destroy ...
How do marker seeds help prostate?
A few days before your radiation simulation appointment, several marker seeds will be inserted into your prostate by a radiologist. These markers help to more precisely locate your prostate during each radiation treatment session. During simulation, it's crucial that you lie still during the procedure.
What is the purpose of external beam radiation?
The goal of external beam radiation for prostate cancer is to destroy the cancerous cells while sparing as much of the normal surrounding tissue as possible. External beam radiation for prostate cancer is one of the standard treatment options to treat prostate cancer. It may also be used for men who have prostate cancer ...
How long does radiation treatment take?
The actual radiation treatment only takes a few minutes. During a treatment session: You lie down in the position determined during your radiation simulation session. You might be positioned with customized immobilization devices to hold you in the same position for each therapy session.
What happens after radiation therapy?
After your external beam radiation therapy is complete, you will have regular follow-up appointments with your doctor to evaluate how your cancer has responded to the treatment. You will need long-term monitoring to determine whether your disease is in remission or if additional treatment is needed.
What happens after prostate surgery?
After surgery, to reduce the risk of cancer returning (adjuvant therapy) After surgery, when there is indication that your cancer has recurred either in the form of increased levels of prostate-specific antigen (PSA) in your blood or clinical evidence of cancer in your pelvis.
How long does radiation side effects last?
Remember that the type of radiation side effects you might have depends on the prescribed dose and schedule. Most side effects go away within a few months of ending treatment. Some side effects may continue after treatment ends because it takes time for the healthy cells to recover from radiation. Side effects might limit your ability ...
How long does it take for radiation to cause side effects?
Late side effects can take months or even years to develop. They can occur in any normal tissue in the body that has received radiation. The risk of late side effects depends on the area treated as well as the radiation dose that was used. Careful treatment planning can help avoid serious long-term side effects.
How long does it take for radiation to show up in the brain?
Radiation to the brain can also have side effects that show up later – usually from 6 months to many years after treatment ends. These delayed effects can include serious problems such as memory loss, stroke-like symptoms, and poor brain function.
What is the most common drug used for radiation therapy?
The one most commonly used today is amifostine. This drug may be used in people with head and neck cancer to reduce the mouth problems caused by radiation therapy. Not all doctors agree on how these drugs should be used in radiation therapy. These drugs have their own side effects, too, so be sure you understand what to look for.
What is the best treatment for radiation?
One way to reduce side effects is by using radioprotective drugs, but these are only used for certain types of radiation given to certain parts of the body. These drugs are given before radiation treatment to protect certain normal tissues in the treatment area. The one most commonly used today is amifostine. This drug may be used in people with head and neck cancer to reduce the mouth problems caused by radiation therapy.
What are the side effects of brachytherapy?
If your treatment includes brachytherapy (internal radiation implants), you might notice breast tenderness, tightness, redness, and bruising. You may also have some of the same side effects that happen with external radiation treatment.
How to take care of your mouth during radiation?
Here are some tips that may help you manage mouth problems: Avoid spicy and rough foods, such as raw vegetables, dry crackers, and nuts.

Short-Term Complications
Long-Term Complications
- The risk of long-term problems after radiation therapy is very low, less than 5 percent. 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 m...
Erectile Dysfunction
- Similar to surgery, damage to blood vessels and nerves after radiation therapy can result in decreased erectile function over time. In general, radiation therapy has less of an impact on erectile function in the first 5 to 10 years after treatment compared with surgery, and approximately 60-85% of men who have baseline erectile function before treatment will keep ere…