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← Return to Prostatectomy vs Photon radiation vs Proton Beam Therapy
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Prostatectomy vs Photon radiation vs Proton Beam Therapy
Prostate Cancer | Last Active: Nov 15, 2025 | Replies (32)Comment receiving replies
Many RP's end up in salvage radiation too. That was a friends viewpoint in doing radiation instead of RP. A 50-50-90 roll the dice thing 🙂
Replies to "Many RP's end up in salvage radiation too. That was a friends viewpoint in doing radiation..."
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@chippydoo
Yes, but as "many" can have BCR after RT and than have no choice of RT and need to do RP that is almost impossible to do and IF it can be done than it causes MUCH higher incidence of permanent incontinence and definitely ED.
Younger patients are almost always unanimously advised to have RP as the first line of defense and there is a reason for that - life expectancy is much longer and so is than possibility of eventually having BCR and need for RT as second line of deffence. Also, RT can cause secondary cancers and for young patients it is better to avoid radiation if possible.
For older patients and patients with low grade cancer it is 50-50 decision, for younger ones or with aggressive cancer it is different situation.