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Most men would obviously prefer to try some form of cancer radiation therapy than to undergo
radical, invasive cancer surgery - a prostatectomy, possibly radical perineal prostatectomy,
whereby the entire prostate is removed through the space between the anus and the penis - the
perineum.
The treatment of prostate cancer depends largely on whether they are dealing with advanced
prostate cancer or not and whether the patient's in good health otherwise some treatments are more
effective for younger patients.
There are several kinds of external beam radiation therapy: the proton beam and the electron
beam to name but two. Proton beam prostate cancer therapy goes back to 1954 so has a long and
successful history.
Electron beam radiation therapy is much newer but is also successful. All external radiation
therapy for prostate cancer treatment aims beams of particles at the cancerous cells in the
prostate to kill them.
These external radiation beams can be closely controlled both in the depth of penetration and
the width of the beam so that there is virtually no collateral damage of adjacent healthy tissue,
which means that side effects are kept to a minimum.
The beams in external beam radiation therapy are created by a machine, an accelerator, outside
the body, but there is another radiation treatment, whereby a device, a seed implant, is inserted
into the body, which gives off a dose of radiation continuously.
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This is invasive radiation therapy and is called seed radiation treatment or brachytherapy. Your
doctor will decide which method to use depending on how far progressed the cancer you have is.
In the case of external beam radiation therapy, the doctor or surgeon will have to 'map' you and
the tumor, which means that they will have to determine the best points for the beams to enter your
body. As they work out these points they will put marks on your skin.
These marks will enable the doctors to go back over several (usually seven or eight) weeks and
repeat the procedures exactly. The marks are made with indelible ink, but they will wear off over
time.
In order for the external beam radiation to target the same part of the prostate gland every
time the beams will not only have to enter the body at the right spot, but the body will have to
lie in exactly the same position too. This often means lying immobilized in a body cast to stop you
moving about.
There may be short and long term side effects, but they are usually confined to loss or pubic
hair, itchiness, diarhoea and frequent urination. A patient may get some, none or all of these side
effects.
The side effects of the disease of prostate cancer and radiation treatment usually wear off
several weeks after the last session of external beam radiation therapy and many of them can be
treated with medication especially water retention and itchiness.
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