Radiation Therapy vs. Surgery for Prostate Cancer
Dr. Dahiya is a renowned radiation oncologist within the Dallas-Fort Worth, TX area and an expert in radiation therapy for prostate cancers. His practice focuses entirely on the treatment of prostate cancer allowing him to continue to develop ongoing subject matter expertise within a single disease state. Using advanced... more
When it comes to treating prostate cancer, there are two main options: radiation therapy and surgery. Both of these treatments can be effective at removing or destroying cancer cells, but they have different risks and benefits.
Radiation therapy uses high-energy beams, such as X-rays or protons, to kill cancer cells. It can be delivered externally, using a machine that directs the beams at the tumor from outside the body, or internally, using a device that is placed inside the body near the tumor.
Radiation therapy is typically less invasive than surgery, and it has a shorter recovery time. However, it can cause side effects such as diarrhea, rectal irritation or bleeding, and urinary problems. In some cases, these side effects can be severe and may require additional treatment. Many of these side effects have been greatly reduced by advances in radiation treatment technologies such as Intensity Modulated Radiation Therapy (IMRT) which allows much more conformal dosing to the involved prostate gland while protecting normal surrounding organs.
Surgery, on the other hand, involves removing the cancerous tissue directly. This can be done using several different techniques, including either an open radical prostatectomy or robot-assisted laparoscopic prostatectomy, both of which removes the entire prostate gland, and in rare cases, a partial prostatectomy, which removes only the part of the gland that contains the cancer.
Surgery is more invasive than radiation therapy, and it typically requires a longer recovery time. However, it can offer a higher likelihood of cure, especially for men with early-stage prostate cancer. It can also help to preserve sexual function and urinary control, which are often affected by radiation therapy.
In terms of survival rates, both radiation therapy and surgery can be effective at treating prostate cancer. The specific survival rate will depend on the stage and severity of the cancer, as well as other factors such as the patient's age and overall health.
Overall, the choice between radiation therapy and surgery for prostate cancer will depend on the individual situation. Additional factors may include a patient’s age, extent of disease, and comorbidities. Men with prostate cancer should discuss their options with their doctor to determine the best course of action.
