12 doctors weighed in:
I am about to undergo radiation therapy after a prostatectomy. What side effects, if any, can I expect?
12 doctors weighed in

Dr. Lawrence Hochman
Radiation Oncology
6 doctors agree
In brief: Bladder and bowel
We use radiation therapy following prostatectomy for several reasons.
But the side effects are the same. Irritation of the lower urinary tract with frequency and urgency are common as well as some potential discomfort with urination. Also there may be some change in bowel movements that can usually be controlled with diet. Fatigue is common but can be combatted with some regular exercise.

In brief: Bladder and bowel
We use radiation therapy following prostatectomy for several reasons.
But the side effects are the same. Irritation of the lower urinary tract with frequency and urgency are common as well as some potential discomfort with urination. Also there may be some change in bowel movements that can usually be controlled with diet. Fatigue is common but can be combatted with some regular exercise.
Dr. Lawrence Hochman
Dr. Lawrence Hochman
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Dr. Andrew Turrisi
Radiation Oncology
5 doctors agree
In brief: At consent for
Treatment, these should be listed and discussed.
I wait until continece is achieved before starting, usually 3 mos post op (+ margin, capsule penetration). If psa is rising, caution about urinary continence, freq, urgency, nocturia, fatigue during xrt, bleeding from rectum is a late effect. Risks <5-10%. Dose & # of treatments, volume all issues. If nodes are treated, diarrhea is posible. No n&v.

In brief: At consent for
Treatment, these should be listed and discussed.
I wait until continece is achieved before starting, usually 3 mos post op (+ margin, capsule penetration). If psa is rising, caution about urinary continence, freq, urgency, nocturia, fatigue during xrt, bleeding from rectum is a late effect. Risks <5-10%. Dose & # of treatments, volume all issues. If nodes are treated, diarrhea is posible. No n&v.
Dr. Andrew Turrisi
Dr. Andrew Turrisi
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1 comment
Dr. Andrew Turrisi
Erectile dysfunction post surgery occurs. XRT nver makes it better. That's why I wait.
Dr. Terence Chapman
Urology - Oncology
4 doctors agree
In brief: Mild and transient
For the large majority of men, modern postoperative radiation for prostate cancer is well-tolerated.
Men may experience irritative urinary symptoms (frequency, burning) and loose stools. Fatigue may be present particularly after the first few weeks. Many men experience few if any symptoms. In most patients, these symptoms resolve after cessation of therapy. Seek out a center with modern equipment.

In brief: Mild and transient
For the large majority of men, modern postoperative radiation for prostate cancer is well-tolerated.
Men may experience irritative urinary symptoms (frequency, burning) and loose stools. Fatigue may be present particularly after the first few weeks. Many men experience few if any symptoms. In most patients, these symptoms resolve after cessation of therapy. Seek out a center with modern equipment.
Dr. Terence Chapman
Dr. Terence Chapman
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1 comment
Dr. Andrew Turrisi
Much of this is true, but the symptoms are related too the size of the target: the radiation oncologist decision and choice more than the equipment.
2 doctors agree
In brief: Fatigue, LUTS, ED
While undergoing the radiation you will have some fatigue, maybe some urinating irritation and bother with erections.
Most go away when treatment over. For more info @thepeedoc www.Peedoc.

In brief: Fatigue, LUTS, ED
While undergoing the radiation you will have some fatigue, maybe some urinating irritation and bother with erections.
Most go away when treatment over. For more info @thepeedoc www.Peedoc.
Dr. Roscoe Nelson
Dr. Roscoe Nelson
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