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A Patient's Guide to Prostate Cancer - Prostate Cancer Centre

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Radioactive<br />

seeds<br />

prostate cancer without the need for a major<br />

operation. It rarely causes loss of urinary control, and<br />

impotence is less common than with surgery.<br />

The side-effects of radiotherapy, in general, are<br />

normally limited <strong>to</strong> patients having radical rather than<br />

palliative treatment. External beam radiotherapy is<br />

lengthier than surgery and often causes tiredness,<br />

nausea, and diarrhoea, as well as frequent and painful<br />

urination. Although most of these side-effects settle in<br />

time, some will occasionally persist. With brachytherapy,<br />

the side-effects are usually confined <strong>to</strong> the urinary<br />

system, with patients temporarily experiencing a slow<br />

flow and urinary frequency. Some patients may even<br />

experience difficulty in passing urine at all after the<br />

treatment and require a catheter (tube draining the<br />

bladder through the penis) for a short period, normally<br />

a week or two, before their urinary symp<strong>to</strong>ms settle.<br />

However, incontinence and impotence seem least<br />

common with this form of treatment.<br />

22<br />

A Patient’s <strong>Guide</strong> <strong>to</strong> <strong>Prostate</strong> <strong>Cancer</strong><br />

Bladder<br />

<strong>Prostate</strong><br />

gland<br />

Urethra<br />

Illustration<br />

showing the<br />

seeds lying in<br />

the prostate<br />

gland after<br />

implantation.

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