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Doctor insights on: Prostate Radiation

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Dr. Chad Levitt
30 Doctors shared insights

Prostate Radiation (Overview)

Prostate radiation is a treatment in which a person is exposed to high energy waves or particles such as gamma rays, proton rays, or neutron rays that penetrate his body to damage or destroy cancer cells in his prostate, or prevent cancer cells from reproducing.


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What is calypso prostate radiation?

What is calypso prostate radiation?

Form of IMRT: Calypso is a way the radiation machine can track your prostate. Three markers send out signals to make the radiation very accurate. Www. Peedoc. Com @thepeedoc. ...Read more

Dr. Chad Levitt
30 Doctors shared insights

Prostate Radiation (Overview)

Prostate radiation is a treatment in which a person is exposed to high energy waves or particles such as gamma rays, proton rays, or neutron rays that penetrate his body to damage or destroy cancer cells in his prostate, or prevent cancer cells from reproducing.


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What are the disadvantages of calypso prostate radiation?

What are the disadvantages of calypso prostate radiation?

MRI Distortion: Calypso is an excellent real time positioning system. It uses transponder beacons to communicate real time position of the target, currently approved for prostate cancer treatment. Disadvantage is that it distorts MRI images, so for my cyberknife patients which I treat in 4-5 fractions I get a fair amount of information from MRI and I use good seeds and image the organ about 120 times/ treatment. ...Read more

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What are the common side effects of prostate radiation?

Gi and Gu irritation: Gastrointestional (gi) irritation: rectal irritation more frequent bowel movement, diarrhea, hemorhoids may act up, blood in the stool. Genitourinary (gu): bladder irritation, irritation of urethra, more frequent urination, burning with urination, blood in urine. Fatigue is also a common side effect. ...Read more

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Can a prostate radiation seeding affect the patient's pets?

Can a prostate radiation seeding affect the patient's pets?

Radiation exposure: Radioactive seeds typically give off 95% of their radiation, in the first few months, after implant. During this time, patient is radioactive and should follow radiation precautions to keep exposure low to living being including pets, especially at infancy (more organs forming/maturing at this age and susceptible to radiation). To decrease exposure, increase distance, shield, decrease time spent. ...Read more

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What are some of the common prostate radiation side effects?

What are some of the common prostate radiation side effects?

Bowel & bladder : (: Fatigue (alleviated by rest), transient bowel and bladder irritation it is a common side effect. One may urinate or desiccate more frequently and may have some irritation related symptoms that are short-lived. They are typically managed well with medications. Uncommon and rare side effects are significant dysuria, obstruction of the urinary flow. There are medications that help with this. ...Read more

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Can someone have rectal bleeding after prostate radiation as a side effect?

Can someone have rectal bleeding after prostate radiation as a side effect?

Yes: Radiation causes inflammatory changes in the lining of the rectum called radiation proctitis. It can be treated by a gastroenterologist with argon gas therapy. ...Read more

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Which is better: prostate radiation or hormone treatment?

Which is better: prostate radiation or hormone treatment?

Prostate radiation o: This depends on many things - the gleason rating score, your age and whether there is spread. Some schools believe in using both. Radiation is usually for 40-44 treatments. Hormone treatment is more common when you are older. Outcomes have not shown hormone therapy to be superior. ...Read more

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My father just went through prostate radiation his urine smells he is retaining water and have troubles holding his urine?

My father just went through prostate radiation his urine smells he is retaining water and have troubles holding his urine?

Incontinence: His edema (fluid retention) can't be explained by his history provided. His incontinence needs to be addressed, it would need to be determined if he has overflow incontinence that is his bladder is full and urine overflows. Suggest call his urologist and his primary care. He needs to be seen. A complete Urine and urine culture and a ultrasound may be needed. Hope this helps ...Read more

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I had prostate cancer radiation treatment 2yrs ago, semen is still yellowish. Is it normal?

I had prostate cancer radiation treatment 2yrs ago, semen is still yellowish. Is it normal?

Yes: Radiation therapy for prostate cancer will ofter permanently change the color, amount, and consistency of the ejaculate. If you are concerned, speak with your radiation oncologist or urologist. ...Read more

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I had prostate cancer radiation treatment, last psa test was. 58. If cancer do reoccur what kind symptoms will I get physically, feel, notice etc.?

I had prostate cancer radiation treatment, last psa test was. 58. If cancer do reoccur what kind symptoms will I get physically, feel, notice etc.?

Varies: If you are following psa, and your cancer recurs, vey often the patient is asymptomatic - the only symptom may be anxiety about the test result. Otherwise symptoms have to do with sight of recurrence- most common is bone pain or fracture. ...Read more

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I did prostate cancer radiation 2 yrs ago. Now psa 0.5. Everything was okay so far. I had eaten strange curry soup. Very bad daraherria leaked a bit.

I did prostate cancer radiation 2 yrs ago. Now psa 0.5. Everything was okay so far. I had eaten strange curry soup. Very bad daraherria leaked a bit.

Possibly Related: You can have long term complications from radiation treatment. They should have talked to you about the prior to treatment. Your diarrhea may have been so bad it caused the problem or it may have been so bad that with your changes from the radiation there was a problem. You will have to decide if it was bad enough to check with your physician. ...Read more

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64 yr. Old man with prior successful prostate cancer radiation treatment 3 yrs ago. Solar plexus pain. What organ if concern with cancer?

64 yr. Old man with prior successful prostate cancer radiation treatment 3 yrs ago. Solar plexus pain. What organ if concern with cancer?

May be...: After a successful rt for prostate cancer (pca), the patient will still require a lifelong f/u for possible rising psa after definitive rx; it's reasonable to do so every 6 months for the described one by repeating psa and with clinical assessment. Solar plexus pain is very unlikely related with pca. Instead, consider hypertension-related or idiopathic. Pca-related pain occurs in its late stage. ...Read more

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I am having bone pain here and there, did prostate cancer radiation treatment 2 yrs ago. Psa ok, 0.5 now. Initial psa 7.20, gleson 7 during treatment.

I am having bone pain here and there, did prostate cancer radiation treatment 2 yrs ago. Psa ok, 0.5 now. Initial psa 7.20, gleson 7 during treatment.

Get checked: Too many possibilities. Included are osteoporosis, low vitamin d, hyperparathyroid. Many metabolic causes. Also to be considered is involvement of bone by prostate ca. A simple evaluation goes a long way to answer these questions and allay any fears of cancer recurrence. ...Read more

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I am 60 years old. I had prostate cancer radiation two yearsago. My g was 7.25 and psa was 7; now my psa is 5.8.My bones get very sore at some places, on/off. Could it bebone cancer?

I am 60 years old. I had prostate cancer radiation two yearsago. My g was 7.25 and psa was 7; now my psa is 5.8.My bones get very sore at some places, on/off. Could it bebone cancer?

Unlikely: Bone cancer is rare in patients with psas under 20. As a mentor of mine once said, though "the good thing about cancer is that it gets worse." what he meant was that if you have had bony pain for a while and if it has not been getting worse, then it is unlikely to be cancer. ...Read more

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What happens to the radioactive seeds implanted in my prostate once the radiation wears out?

What happens to the radioactive seeds implanted in my prostate once the radiation wears out?

Nothing: After the seeds "wears out" nothing happens to them. They remain in the prostate and are inert. They are not removed. Leaving them in does not pose any significant danger to the patient. ...Read more

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I have prostate cancer, had radiation & injections for 2 yrs. Can't get' erected. Any meds to help?

I have prostate cancer, had radiation & injections for 2 yrs. Can't get' erected. Any meds to help?

DON'T GO THIS ALONE: You need to discuss this with your urologist. I can't offer any real help with this forum, so monday morning, you call, or have your doctor call, your urologist, so you can have a thorough discussion. Then, you may be able to reach some appropriate management of your problem. Good luck. ...Read more

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Does the susceptibility of prostate cancer to radiation run in families?

Does the susceptibility of prostate cancer to radiation run in families?

Yes: A man with a brother or father with prostate cancer has double te risk of developing prostate cancer than a man with a negative family history. ...Read more

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My dad is 85 yrs old and has prostate cancer, started radiation treatment for 9 weeks mon-fri, isn't he to old to be receiving that much radiation?

My dad is 85 yrs old and has prostate cancer, started radiation treatment for 9 weeks mon-fri, isn't he to old to be receiving that much radiation?

May be unnecessary!: It is reasonable to question this. Most prostate cancer is relatively benign and may exist for decades without spreading or killing someone. 80% of 80 year old men have prostate cancer (!) and very few of them will die from it. Radiation therapy can cause serious side effects. Your dad may be better off without any radiation! Get second opinions. If he goes ahead see http://tinyurl. Com/hhcnc99 ...Read more

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Which treatment is better for Prostate cancer - Stage 1? Surgery for prostate removal or Radiation therapy with some medication?

Which treatment is better for Prostate cancer - Stage 1? Surgery for prostate removal or Radiation therapy with some medication?

It is debatable: This is a common dilema as both treatment types (surgery and Radiotherapy) give equally good results. The chocie between the two is based on your Age and personal preference. I would advise you to meet with both specialists, and go for surgery if your age is ...Read more

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What problems caused in radiation of prostate cancer?

It depends: Some men have no trouble with radiation to the prostate, either external beam or radiation seeds, but others will have trouble with pain on urination or difficulty with urination. ...Read more

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Is alcohol contraindicated while receiving radiation for prostate cancer?

Is alcohol contraindicated while receiving radiation for prostate cancer?

No not really: Moderate alcohol intake while receiving RT for prostate cancer is not likely to give you problems if it is consistent with your normal routine. ...Read more

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Does radiation for prostate cancer stop semen production?

Does radiation for prostate cancer stop semen production?

Yes: The fluid that comes from the prostate is part of what makes up semen. When these cells are killed the amount of semen is much less to just a few drops which is now more from the sperm and seminal vesicles. ...Read more

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What are the side effects of radiation for prostate cancer?

What are the side effects of radiation for prostate cancer?

Here are some...: Radiation intends to kill cancers but always accompanying its collateral injury to all the tissues projected through. As a result, nature or features of all injured tissues may ensue leading to less ability to function and self-repair. Hence, urinary and/or fecal frequency, bleeding from rectum or bladder, etc. May develop. At times, feeling some tiredness may also happen to few. Generally, rare. ...Read more

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Psa was, 74 6 months ago now.84. Is that something to worry abt. Considering I had radiation for prostate cancer almost 5 years ago.

Psa was, 74 6 months ago now.84. Is that something to worry abt. Considering I had radiation for prostate cancer almost 5 years ago.

Not necessarily: A change of 0.74 to 0.84 is not a terribly big jump in six months. You should continue to have the psa checked by your urologist. If the psa continues to rise, your urologist will determine if any further testing and/or treatment is indicated. ...Read more

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I've had external radiation for prostate cancer. My ejaculation is only drops most of the time, mainly clear liquid. How can I improve this?

I've had external radiation for prostate cancer. My ejaculation is only drops most of the time, mainly clear liquid. How can I improve this?

Here are some. ..: Your reported change in semen features is entirely expected because external beam radiation damages all the prostate, ejaculatory ducts and even seminal vesicles, resulting in shrinking all affected tissues leading to almost no more semen. So, you've to accept this fact as the price of radiotherapy. More? Ask Doc. But at least, you still luckily retained the feeling of orgasm. Best wishes... ...Read more

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What is the advantage of internal brachytherapy vs external radiation for prostate cancer? Seems as if everyone would prefer the external route.

What is the advantage of internal brachytherapy vs external radiation for prostate cancer? Seems as if everyone would prefer the external route.

Convenience: Historically, there used to be greater advantages. There are many fewer advantages today, since external beam radiation has advanced greatly.

You can save time by having brachytherapy. The advantages used to be greater. Cyberknife treatment offers all the benefits of both: only five days, and none of the bruising pain and bleeding of seed placement.

Good luck with your choice. ...Read more

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Right testicle has become very hard and changed shape. It has become round like a marble. I have no pain. It. I had prostate cancer in 2004. Radiation.

Right testicle has become very hard and changed shape. It has become round like a marble. I have no pain. It. I had prostate cancer in 2004. Radiation.

Time for Urologist: We often say... Never say never. Prostate Ca spread to testis would be rare. But with irridiated tissues. A different type of cancer could occur. Or could occur on its own. You did not mention injury. But, go see your Urologist...soon. ...Read more

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Could radiation for prostate cancer cause rectal bleeding?

Could radiation for prostate cancer cause rectal bleeding?

Yes: One of the potential side effects for radiation therapy to treat prostate cancer is rectal bleeding. This can occur after brachytherapy or external beam therapy. This is called proctitis and is generally mild and self-limiting. It usually does not require any treatment other than conservative management such as maintaining soft bowel movements, hydration, and monitoring of blood work. ...Read more

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Does focal radiation for prostate cancer weaken the immune system?

Does focal radiation for prostate cancer weaken the immune system?

Possibly: External beam radiation is given to the prostate only. With modern techniques of imrt and igrt the radiation is spread out significantly over the pelvis which houses 40 percent of the bone marrow. The bone marrow is sensitive enough that in some patients we see a lowering of the white count and thus weaker immune system. This usually is very minimal and easily recovers on its own. ...Read more

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I need external beam radiation for prostate cancer, will it have any bad effects on the rest of me?

I need external beam radiation for prostate cancer, will it have any bad effects on the rest of me?

not too bad: The majority of men do very well with radiation. During treatment there can be some fatigue, urinary changes and possibly some loose stools. Late term there can be a risk for erectile dysfunction, small risk for long term urinary changes, and especially with newer radiation techniques a small chance of rectal bleeding (proctitis). ...Read more

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I need external beam radiation for prostate cancer will it cause fatigue?

I need external beam radiation for prostate cancer will it cause fatigue?

Yes: Many patients experience fatigue towards the end of their treatment. However, most individuals who work can continue to do so. ...Read more

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I had internal radiation for prostate cancer three years ago. Since the day I had the first of two surgeries I had pain in both hips. All the doctor?

I had internal radiation for prostate cancer three years ago. Since the day I had the first of two surgeries I had pain in both hips. All the doctor?

Brachytherapy: I assume you're referring to the placement of radioactive seeds into the prostate? It is unlikely that this procedure would result in hip pain that has lasted 3 years. You should be certain that your PSA has remained low following treatment and that bone pain isn't from a metastatic recurrence of your prostate cancer. ...Read more

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What do you suggest if I had my prostate removed, 4 years later my pegins to rise a little they began 50 days of pinpoint radiation a?

Here are some. ..: Does this scenario pertain to you of 36? I hope not, but your relative. The Q is not as clear as I wish to discern. But, I assumed there is a rising PSA after radical prostatectomy so leading to a 50-session of "pinpoint" radiation, which is given under the assumption that the cancer is still at or near the place where prostate was, without far spreads to bones, lungs, etc. So, follow protocol to ...Read more

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How effective is radiation treatment of prostate?

Talk to a specialist: Radiation therapy is an effective form of prostate cancer treatment. No head to head trials with other forms of therapy, including surgery, have yet been performed, but it is one of several options for treatment. Ultimately, cure depends on disease biology: the grade and stage of the cancer. And there are different forms of radiation treatment, usually requiring hormonal therapy in combination. ...Read more

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After prostate remove surgery by robot in jan. All done supplemental radiation june 24th. 50 years old in sept, what kind of exercise is best 268#5'8"?

Kegel's: Pelvic floor exercises are important for regaining / maintaining urinary continence. Six weeks post-operatively, barring other medical problems, full return to any form of exercise is acceptable. Pick something you like and will stick with. ...Read more

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How is radiation used to treat prostate cancer?

How is radiation used to treat prostate cancer?

Two Main Effects: Radiation treatments help to kill prostate cancer through two pathways: immediate dna damage and longer-term blood vessel blockage. Cancer cells reproduce more often, so dna inside them can be damaged more easily. Using hormone manipulation, this effect can be maximized. Over time, the arteries irradiated clog from thickening of their walls from the xrays. This starves the cancer, killing it. ...Read more

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Could radiation therapy for my prostate be making me incontinent?

Could radiation therapy for my prostate be making me incontinent?

It is possible: This is unusual to occur as radiation may cause impotence but incontinence is not as common. I have seen it occur with brachytherapy (seeds) more often than in external beam. However patients were on the elderly side, over 75. More commonly the patient has a concurrent infection during or after radiation that when treated the incontinence resolves. Also if you have a TURP afterwards its likely. ...Read more

Dr. Linda Callaghan
7 Doctors shared insights

Prostate (Definition)

The prostate is a gland that lies at the base of the bladder and surrounding a segment of urethra. It secretes a milky fluid that is discharged by excretory ducts into the urethra during the emission of semen. It is clinically important because enlargement of the prostate with age, and prostate cancer are two common ...Read more