NCCN Guidelines for Patients® | Prostate Cancer - page 76

76
NCCN Guidelines for Patients
®
: Prostate Cancer
Version 1.2014
Part 8: Making treatment decisions
Prostatectomy
Benefits
Long-established treatment of prostate cancer
May cure local cancer
Short hospital stay
Multiple surgical options
Removal of cancerous lymph nodes
Downsides
Requires anesthesia
Some risk of severe bleeding and heart attack
Doesn’t treat distant cancer
Inexperienced surgeons have poorer results
Immediate erectile dysfunction at least in the short term
Immediate urinary incontinence at least in the short term
External beam radiation therapy
Benefits
Doesn’t have same complications like an operation (eg,
bleeding, heart attack)
Can be used with men of many different ages
Low risk of urinary incontinence and urethral stricture
Maintain erectile function in the short term
May treat cancer beyond the prostate
Downsides
Takes 8 to 9 weeks to complete
Possible injury to skin
Short-term bladder or bowel problems
Low but real risk of rectal symptoms
Risk of erectile dysfunction increases over time
Salvage prostatectomy for recurrence has greater risk of
complications
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