

PROSTATE CANCER
The most common cancer that affects men in the United States is Prostate Cancer. In their lifetime, one in nine men in the U.S. will be diagnosed with prostate cancer. With appropriate PSA and MRI-based screening, many of these cancers are found at an early stage where there are many treatment options, including advanced radiation therapy called IMRT (Intensity Modulated Radiation Therapy) and SBRT (Stereotactic Body Radiation Therapy).
Coastal Radiation Oncology has the latest technology allowing precise treatments meant to maximize both cure and quality of life. The technology we use and the number of treatments depends on how advanced the tumor is (stage) and what type of symptoms you have (if any).
If you or a loved one have been diagnosed with Prostate Cancer, click the link below to request a consultation with one of our expert radiation oncologists.
Typical Treatments
When the disease is limited to inside the prostate only, the most common treatments are surgery (prostatectomy) and radiation therapy (IMRT/SBRT). Because the prostate cancer is very commonly distributed throughout the entire gland, both surgery and radiation therapy are designed to treat the entire prostate.
The main difference between surgery and radiation therapy is that surgery requires admission to a hospital, a urinary catheter, and some downtime to recover. It is also important to say that while surgery can be very effective at treating prostate cancer, it is also common that radiation therapy must be used after surgery when the disease is found outside of the gland (which sometimes cannot be seen at the time of diagnosis).
Radiation therapy differs from surgery in that there are repeated sessions of invisible X-ray energy sessions aimed at the prostate that are given over a period of six to eight weeks. There is a shorter version of the treatment called SBRT that only certain men are eligible for that is given in just five treatment sessions. For more advanced disease, hormone blocking medicine can be required along with radiation therapy to make it more effective.
Both surgery and radiation therapy have short and long-term side effects. Please make sure to talk with both a urologist and radiation oncologist about the side effects that can occur with these treatments.
For information about the types of technology available through Coastal Radiation Oncology
What To Expect
Once your doctors have determined that radiation therapy may be part of the treatment plan for your Prostate Cancer, there will be a few steps to allow the radiation oncology team to begin treatment safely.
These include:
CT simulation
Treatment plan design (dosimetry)
Verification
Start of daily treatments
Weekly doctor visits with your radiation oncologist
Side Effects
Short term:
Side effects are typically temporary and usually go away shortly after treatment ends. Below is a list of possible side effects you might notice during your treatment.
More likely
Urinary frequency/urgency
Straining to urinate
Fatigue
Loose stools/diarrhea
Rectal urgency
Less likely
Blood in stool
Blood in urine
Skin redness/irritation
Hair loss (in the treated area)
Long term:
After the short-term side effects of radiation therapy resolve, others may become noticeable months or years later.
More likely
Erectile dysfunction (temporary or permanent)
Urinary frequency/urgency
Rectal urgency
Loose stools/diarrhea
Rectal bleeding
Less likely
Blood in urine
urethral stricture
More Information
For more information about the diagnosis and treatment of Prostate Cancer, please visit the following websites:
RT Answers
https://www.rtanswers.org/Cancer-Types/Prostate-Cancer
American Cancer Society
https://www.cancer.org/cancer/prostate-cancer.html
Cancer.Net
https://www.cancer.net/cancer-types/prostate-cancer
Prostate Cancer Foundation
Zero Cancer
