Doctor with Files

Salinas SBRT Treatment 

There are several very good treatment options for men diagnosed with prostate cancer.  Some involve a surgical procedure while others can be done without undergoing general anesthesia or being admitted to a hospital. 

Non-invasive treatments for prostate cancer include standard radiation therapy (daily treatments over 6 to 8 weeks) or a new form of radiation done over a much shorter period of time called Stereotactic Body Radiation Therapy (SBRT, also called SABR or Stereotactic Ablative Radiation Therapy).


SBRT/SABR is an ultra-precise form of radiation therapy that allows doctors to deliver the equivalent of several weeks of treatment in five sessions.  This is possible because of advances in the equipment available to deliver radiation therapy called linear accelerators.  Because of the complex blocking and computer-guided treatment planning, radiation oncologists are able to design safe and precise treatments that deliver a higher, more effective radiation dose to the prostate during each treatment session.


Some of the potential advantages of SBRT as compared to surgery include:

Advantages                                                  Surgery    SBRT    Brachytherapy        
General Anesthesia                                         Yes        No       Yes
Hospital Admission                                          Yes        No       Yes
Urine Catheter                                                  Yes        No       Yes 
Long Recovery Time                                        Yes        No       Yes
Immediate Urine Leakage is Possible            Yes        No       Yes
Immediate Erectile Dysfunction Can Occur   Yes        No       Yes


Who is eligible?

Men who have prostate cancer, with a Gleason Score of 6 or 7. The patient’s PSA must be less than 15 mg/ml, and there should be no evidence of lymph node or bone involvement. 


What is the success rate?

The success rate is 92% or greater. Early results suggest that SBRT is as effective as, and likely more effective than, standard radiation therapy. 


Does SBRT make you sick?

No, it is generally well-tolerated. Some side effects that can occur are:

  • Tiredness

  • Mild irritation of the bladder and rectum, which can lead to increased urinary and rectal urgency and frequency. 

  • Long-term, patients can sometimes see blood in the urine or stool, but rarely have rectal pain as the prostate heals after treatment. 

  • Rectal symptoms can be significantly reduced if a gel spacer is used. 


How would I learn more about SBRT?

The best way to find out more about this exciting treatment is to make an appointment with a Radiation Oncologist who is experienced in treating the prostate with this technique.  Fill out the form below or call (831) 758-2724 to get scheduled for a consultation.


What steps are required to get started with SBRT:

  • Consultation with a Radiation Oncologist who specializes in SBRT

  • Placement of fiducial markers inside the prostate for accurate targeting.  We also recommend inserting a temporary gel spacer between the prostate and rectum.

  • CT simulation when a cast will be made of your lower legs to help stay in the same place during treatment.

  • SBRT usually begins 1 ½ to 2 weeks after your simulation.


What should I expect after SBRT treatments?

We will instruct you regarding care for any potential side effects after treatment. You will have a follow-up in our clinic to assess treatment response, monitor and treat any delayed side-effects, and receive recommendation regarding any potentially beneficial treatments in the future.

Find out if you are eligible for SBRT: