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  1. Feb 27, 2020 · 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. Many men in the study had initial problems with sexual, bowel, urinary, and hormonal functioning. Brachytherapy caused more irritative urinary problems during the initial six months ...

    • Charlie Schmidt
    • hhp_info@health.harvard.edu
  2. Feb 6, 2024 · Because most men with prostate cancer are expected to live a long time, weighing the long-term side effects of different treatments is important. Side effects can include bladder and bowel problems, and difficulty with sexual functioning. Men with prostate cancer at low risk of spreading may undergo surgery to remove the whole prostate or ...

    • Overview
    • What are the long-term side effects of seed implants for prostate cancer
    • When to contact a doctor
    • What are the short-term side effects of brachytherapy?
    • How long do brachytherapy side effects last?
    • Are seed implants for prostate cancer worth it?
    • Candidates for seed implants for prostate cancer
    • Frequently asked questions about seed implants for prostate cancer
    • Takeaway

    Brachytherapy can cause both short-term and long-term side effects that affect your bowel, urinary tract, and sexual health.

    Brachytherapy, also called seed implants, is a type of radiation therapy used to treat prostate cancer. It involves implanting tiny radioactive pellets into your prostate gland that emit energy and destroy cancer cells.

    Doctors sometimes recommend brachytherapy by itself for people with low-risk and early stage prostate cancer. It’s sometimes used in combination with external beam radiation therapy for cancer at risk of growing beyond the prostate.

    Brachytherapy may control low- to intermediate-risk prostate cancer — studies show that 85%–97% of individuals receiving brachytherapy are cancer free 5 years after treatment.

    Doctors use two types of brachytherapy for treating prostate cancer:

    •Permanent brachytherapy: About 100 radioactive pellets are inserted into your prostate that release a lower dose of radiation than temporary brachytherapy for weeks to months.

    •Temporary brachytherapy: Radioactive pellets are placed inside your prostate for 5–15 minutes at a higher dose than permanent brachytherapy. Usually, you receive 1–4 treatments over 2 days.

    There currently isn’t direct evidence that either of these two treatments is better than the other in terms of side effects and tumor control rates. Potential long-term side effects include the following.

    Most side effects of brachytherapy only last days to weeks. It’s important to speak with a doctor if you have side effects that last beyond this period or that you find concerning.

    Some symptoms require immediate medical attention. It’s important to get immediate medical attention if you develop:

    •inability to pass urine or stool

    •bright red blood in your stool

    Short-term side effects of brachytherapy are similar to long-term side effects. They include:

    •rectal pain or burning

    •diarrhea, sometimes with blood

    •constipation

    •frequent urination

    •burning urination

    Side effects usually start to get better within weeks. Although it’s not common, some people may have side effects for years or the rest of their lives.

    In a 2020 study, researchers found that people reported the maximum number of urinary and sexual symptoms at a 6-week follow-up and mild impairment at 10 years. Those were the two ends of follow-up appointments.

    Brachytherapy is an important part of cancer treatment for some people. It can potentially cure your cancer and remove the need for surgery. Surgery has been associated with higher rates of long-term side effects in some studies.

    Who should avoid this treatment?

    Brachytherapy may not be a treatment option if you have: •cancer spread to distant body parts •large prostate and urethral defects •ataxia telangiectasia, a neurodegenerative condition •limited life expectancy

    How long do prostate seed implants last?

    Permanent brachytherapy seeds release their radiation over weeks to months. In the first months after your treatment, the radiation may be detected by border crossing officials (for those considering travel).

    How successful is brachytherapy for prostate cancer?

    Brachytherapy has high success rates for people who are candidates. In a 2023 study, researchers reported a 98% biochemical control rate after 7 years among 149 people treated at one institution from 2006 to 2021.

    Brachytherapy can cause long-term side effects that affect your urinary, sexual, or bowel health. Rates of long-term side effects are relatively low.

    Although it’s rare, some people may develop serious side effects such as a complete inability to pass urine or stool. It’s important to report any concerning symptoms to a healthcare professional.

    • Daniel Yetman
  3. But it’s been unclear if there were significant differences in the long-term side effects of these treatments. Side effects can include bladder and bowel problems, and difficulty with sexual functioning. To learn more, researchers followed 2,500 men for 10 years after prostate cancer treatment. As expected, survival rates were similar.

  4. Jun 25, 2024 · With active surveillance, “the goal is to delay when somebody might need treatment,” and if treatment is needed, to choose an approach that balances effectiveness against harmful side effects. For a “low-risk prostate cancer” — one that appears unlikely to expand aggressively, or to affect someone’s quality or length of life — Pilié says that active surveillance makes sense, at ...

  5. Jan 12, 2023 · Takeaway. Radiation therapy is one of the most common treatments for prostate cancer. It can be lifesaving for people who need it but can also cause many different side effects. Some of the most ...

  6. People also ask

  7. Dec 5, 2022 · Hormonal therapy is a cornerstone of prostate cancer treatment, but it has burdensome side effects. Men who take these testosterone-blocking drugs experience fatigue, loss of muscle mass, and a heightened risk of cardiovascular diseases. Doctors and patients alike are therefore highly motivated to use hormonal therapy only for as long as necessary.

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