Clipboard, Search History, and several other advanced features are temporarily unavailable. Due to proton therapys targeted approach, studies have found that patients treated using this method have a significantly reduced risk of impotence, with 94% of men reporting that they remain sexually active after treatment. Epub 2019 Feb 27. Epub 2013 Dec 30. Proton therapy facilities are growing in number, but the treatment is still not available everywhere. This site needs JavaScript to work properly. Much depends on the stage at diagnosis and the extent of treatment. Proton therapy is also more expensive, may not be covered by insurance, is not widely available, and has not yet been studied in larger trials comparing it to other types of radiation. Periodic PSA testing can help gauge effectiveness of hormone therapy. for example, loss of hair on the head may occur when proton therapy is used for brain cancer, and hair loss on the chest may occur with proton therapy for lung cancer. Healthline Media does not provide medical advice, diagnosis, or treatment. It provides precise radiation therapy. 2012 Sep 15;118(18):4619-26. doi: 10.1002/cncr.27398. Proton therapy is an advanced form of radiation cancer treatment that precisely targets tumors. Blood in your urine 5. Cancer treatment affects people in different ways, so you may not experience every side effect. Potency preservation following stereotactic body radiation therapy for prostate cancer. As apparent, much less of the pelvis is exposed to radiation with the proto… Proton therapy side effects are similar to those of other radiation treatment methods. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. The physical effects of hormone therapy for prostate cancer can impact your daily life. Obayomi-Davies O, Chen LN, Bhagat A, Wright HC, Uhm S, Kim JS, Yung TM, Lei S, Batipps GP, Pahira J, McGeagh KG, Collins BT, Kowalczyk K, Bandi G, Kumar D, Suy S, Dritschilo A, Lynch JH, Collins SP. It may involve the use of customized immobilization devices. COVID-19 is an emerging, rapidly evolving situation. I think these are pretty common side effects. The sexual side effects of hormone therapy for prostate cancer can be some of the most difficult to deal with. But as the X-rays pass through your body, they can damage healthy tissue. This surgery can be performed abdominally, laparoscopically, or through the perinea. 2018. Cancer. Side effects can include diarrhea, fatigue, rash, and worsening of hot flashes. Radiat Oncol. Because the technique can mean less exposure to the radiation, side effects can be less than those of traditional radiation treatment. Proton therapy also can be precisely targeted to the exact depth of the tumor, minimizing damage to other parts of the body. But the results of studies investigating the effects of proton therapy on prostate cancer are mixed. If you have prostate cancer, you are not alone – approximately 175,000 men are diagnosed in the United States each year. You may also have issues with incontinence or gastrointestinal side effects. Injury to the rectum 2. Anyone who can have radiation therapy can have proton therapy. Learn when you should see your…. It’s noninvasive and you won’t feel anything. Epub 2020 Mar 19. Only two percent of the prostate cancer patients underwent proton therapy and the remainder had IMRT. Due to proton therapy’s targeted approach, studies have found that patients who’ve had proton therapy have a significantly reduced risk of impotence, with … The process of recovery is different for everyone. You may have: Cancer. Side effects can include urinary incontinence and sexual dysfunction. These drugs can also cause some nervous system side effects, including dizziness and, rarely, seizures.  |  It’s also an option if you’re at high risk of recurrence or to shrink the tumor prior to radiation. The treatment can cause the same side effects as other forms of radiation treatment, however, and also is expensive. As technology develops this will further reduce side effects and improve rates of remission in conventional radiotherapy, and mean it is increasingly hard to show a benefit from proton beam therapy. Health-related quality of life in Japanese patients with prostate cancer following proton beam therapy: an institutional cohort study. Incidentally, the prostate is still free of cancer, however I was one of those rare cases where a Gleason 7 was already in the nodes, and not seen at treatment time. Cancer. 2018 Dec 12;11(1):136. doi: 10.1186/s13045-018-0683-4. Infection or inflammation of the pubic bone However, these radiotherapy side effects are less common and occur only when the radiation damages your body. : 17-05229-EF-1. Here are some of the pros and cons of proton therapy to consider. But the results of studies investigating the effects of proton therapy on prostate cancer are mixed. Radiation therapy is used to treat many types of cancer, including prostate cancer. Side effects may include fatigue and skin redness or soreness at the treatment site. Normal activities can be resumed within a few weeks. Side effects of cryotherapy for prostate cancer can include: 1. The options doctors recommend depend on whether the cancer has spread outside the prostate and…, Lung cancer symptoms can be unnoticeable in the disease’s early stages, but become apparent as the disease progresses. Based on recent studies involving prostate cancer patients, proton therapy should be strongly considered when exploring treatment options due to few side effects and very high survival rates. Side effects are ED, but may not come on until the 5 year mark or so. Researchers are in the midst of a study that will eventually include more than 400 men with prostate cancer who will receive proton beam therapy or IMRT. However, about 94 percent of men who have used proton therapy to treat prostate cancer report that they’re still sexually active after treatment. Proton therapy can cause side effects as the cancer cells die or when the energy from the proton beam damages healthy tissue.Because doctors can better control where proton therapy releases its highest concentration of energy, proton therapy is believed to affect less healthy tissue and have fewer side effects than traditional radiation therapy. If the cancer hasn’t spread outside the prostate, surgery is a common choice because it may cure the cancer. There are usually fewer side effects from proton therapy than there are from conventional radiation therapy. And since proton therapy lacks an exit dose, and has a lower entrance dose than conventional X-rays, damage to critical tissue near the prostate is reduced, potentially lessening the likelihood of prostate cancer side effects like impotence, incontinence and gastrointestinal disorders. It can be used as primary treatment for early-stage prostate cancer or as part of a total treatment plan for prostate cancer. Conclusions: Request more information or call 877.887.5807 to learn if you can benefit from proton therapy. Proton therapy is a type of radiation treatment. Bleeding or infection in the area treatedRarely, side effects can include: 1. The pattern of PSA levels can also help monitor for recurrence. Methods: Of 254 men ≤60 years old were treated with proton therapy alone for prostate cancer. WASHINGTON –– A large, national study examining a radiation treatment for prostate cancer––popular because it delivers a high dose of therapy in a very short time frame––supports its routine use.. Hoppe BS, Nichols RC, Henderson RH, Morris CG, Williams CR, Costa J, Marcus RB Jr, Mendenhall WM, Li Z, Mendenhall NP. Chemotherapy is not a standard treatment for early-stage prostate cancer. Since delivering the protons to the cancer cells is the goal of therapy, a lot of time is spent on positioning your body and adjusting the equipment before each session. Proton therapy is a form of radiation therapy that is used to destroy cancer cells. … NLM Side effects of hormone therapy include sexual dysfunction, shrinkage of testicles and penis, and loss of muscle mass. Proton Therapy for PROSTATE cancer BECAUSE A CURE IS NOT ENOUGH Precision Therapy. Prostate-Specific Antigen-Based Screening for Prostate Cancer: A Systematic Evidence Review for the U.S. Preventive Services Task Force [Internet]. Your treatment will depend, in large part, on how aggressive the cancer is and its stage at diagnosis. Each serves a specific purpose. NIH Because this precision causes less damage to healthy tissue, proton therapy patients experience fewer side effects than with standard X-ray radiation. Hair loss may occur in the region in which proton beam therapy is given is common. Treating prostate cancer with surgery can result in erectile dysfunction, which is one of the most common side effects. Who’s a good candidate for this procedure? After surgery, radiation, or chemotherapy, you may be told that you’re cancer free. Methods: Within 90 days of starting treatment, 45 patients (12%) in the proton therapy group and 301 patients (28%) in the traditional radiation group experienced a severe side effect—that is, an effect severe enough to warrant hospitalization. I think I read in their literature, it ages the prostate by about 7 years. After your session, you might feel tired. The figure below demonstrates the difference in radiation dose distribution between a conventional IMRT plan on the right and a proton plan on the left. This allows more precise targeting of cancer cells while delivering less radiation to healthy tissue. It might be an option if the cancer has spread outside the prostate and hormone treatment isn’t working. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Erectile dysfunction drugs such as sildenafil (Viagra®) do not usually work for men undergoing hormone therapy because these drugs do not address the loss of libido (sexual desire) that is associated with a lack of androgens. It’s less likely to damage other organs and produces fewer side effects. Long term side effects of external radiotherapy You might have long term side effects after having external radiotherapy for prostate cancer, such as erection problems (impotence). Agency for Healthcare Research and Quality (US). Unlike with radiation from other types of treatment such as IMRT, Tomotherapy, or […] Median follow-up for the cohort was 7.1 years; 7-year biochemical-free survival was 97.8%. Your doctor can let you know if there’s a proton treatment center near you. Rep Pract Oncol Radiother. Pain and swelling of the scrotum and penis 3. Background: We investigated long-term outcomes for men ≤60 years old treated with proton therapy (PT).  |  Patients received 76-82 Gy at 2 Gy/fraction or 70-72.5 Gy at 2.5 Gy/fraction. Would you like email updates of new search results? © 2005-2021 Healthline Media a Red Ventures Company. Results: J Hematol Oncol. Proponents note that studies based on patient surveys have suggested a reduction in side effects like urinary or bowel incontinence, painful urination, or … Report No. Those who received proton therapy experienced far fewer serious side effects than those who received traditional radiation, the researchers found. HHS However, most modern facilities offer a more refined version of conventional radiation therapy called intensity modulated radiation therapy (IMRT), which is designed to cause less damage to surrounding tissues. Urinary Incontinence During a prostatectomy, the bladder is pulled downward and connected to the urethra at the point where the prostate once sat. Proton therapy exhibits higher success rates in prostate cancer … Comparative effectiveness study of patient-reported outcomes after proton therapy or intensity-modulated radiotherapy for prostate cancer. Hormone therapy can reduce male hormones that fuel prostate cancer. Fortunately, such a trial is underway. Long-Term Side Effects of Radiation Therapy for Prostate Cancer Studies show that over time, men who have undergone this procedure, tend to develop long-term side effects. USA.gov. Young men with prostate cancer continue to have excellent results with respect to 7-year biochemical control and 5-year erectile function, without clinically significant urinary incontinence 5 years after proton therapy. Proton therapy is just as effective as conventional radiation therapy. It occurs mostly in children and young adults. Our website services, content, and products are for informational purposes only. 2013 Nov 1;8:256. doi: 10.1186/1748-717X-8-256. Patients received 76-82 Gy at 2 Gy/fraction or 70-72.5 Gy at 2.5 Gy/fraction. You’ll have to remain perfectly still while the proton beam is delivered, but it will only take one to three minutes or so. Despite this, proton therapy has been widely adopted because it is argued the physical benefits are clear, even if small, and will become apparent with time as more people reach the five and ten-year survival mark. Most people tolerate proton therapy very well, with little to no recovery time. Comparative effectiveness studies of proton therapy with surgery and IMRT are needed. Erectile function, incontinence, and other quality of life outcomes following proton therapy for prostate cancer in men 60 years old and younger. It’s proton therapy’s use in prostate cancer that has generated controversy. Side effects of external radiotherapy Radiotherapy to the prostate can cause some side effects, such as loose or watery poo (diarrhoea) and passing wee (urine) more often. Hoppe BS, Michalski JM, Mendenhall NP, Morris CG, Henderson RH, Nichols RC, Mendenhall WM, Williams CR, Regan MM, Chipman JJ, Crociani CM, Sandler HM, Sanda MG, Hamstra DA. If you’ve been through first-line treatment, but still have cancer, your doctor will adjust your treatment accordingly. 2014 Apr 1;120(7):1076-82. doi: 10.1002/cncr.28536. Prostatic irradiation-induced sexual dysfunction: a review and multidisciplinary guide to management in the radical radiotherapy era (Part I defining the organ at risk for sexual toxicities). They can include fatigue, bladder/urinary dysfunction, sexual dysfunction, and rectal or bowel problems. Risk stratification included 56% with low-, 42% with intermediate- and 2% with high-risk disease. 2020 May-Jun;25(3):367-375. doi: 10.1016/j.rpor.2020.03.007. Fenton JJ, Weyrich MS, Durbin S, Liu Y, Bang H, Melnikow J. Rockville (MD): Agency for Healthcare Research and Quality (US); 2018 May. Before you start treatment, you’ll have an initial consultation so the radiation team can get set up for future visits. Surgery Side Effects Because the prostate is close to several vital structures, prostate cancer surgery can disrupt normal urinary, bowel, and sexual functioning. Potency (erections firm enough for sexual intercourse) was 90% at baseline and declined to 72% at the first-year follow-up, but declined to only 67% at 5 years. There are usually fewer side effects from proton therapy than there are from conventional radiation therapy. Erectile dysfunction 2. It can be used as a first-line therapy or in conjunction with other treatments. It is used to help reduce the risk of long-term side effects that can sometimes develop after standard radiotherapy. You may be eligible for a proton therapy clinical trial. Although the actual treatment only takes a few minutes, you should probably block 45 minutes to an hour for the whole procedure. The pros of proton therapy for cancer include that it is more accurate than alternative treatments and less likely to cause damage to surrounding tissues. The good news is that proton therapy can effectively treat almost all prostate cancer diagnoses while reducing or eliminating side effects. Before treatment and every 6-12 months for 5 years, patients were evaluated by a physician, answered health-related quality of life surveys, including the EPIC, IIEF and IPSS, and had PSA evaluated. Risk stratification included 56% with low-, 42% with intermediate- and 2% with high-risk disease. You’ll be able to leave right away and resume your normal activities. Despite this, proton therapy has been widely adopted because it is argued the physical benefits are clear, even if small, and will become apparent with time as more people reach the five and ten-year survival mark. Of 254 men ≤60 years old were treated with proton therapy alone for prostate cancer. 2019 May;134:204-210. doi: 10.1016/j.radonc.2019.01.029. These drugs are taken as pills each day. Tell your doctor or nurse if you have any of these problems, they can help you with them. Side effects of prostate cancer radiation, if they occur, are usually temporary. Only 2% of patients developed urinary incontinence requiring pads. It also causes fewer side effects than chemotherapy or hormone therapy. Your doctor will look at the total picture when recommending treatment. Proton therapy treatment requires little to no recovery time, and the radiation has very little impact on patients’ energy levels compared to other cancer treatment options. The bowel habits mean score declined from a baseline of 96 to 88 at 1 year, which improved over the following years to 93 at 5 years. It is also non-surgical, non-invasive and has minimal side effects. Blockage of the tube (urethra) that carries urine out of the body 3. Among the potential side effects are fatigue, nausea, and hair loss. Epub 2012 Jan 17. Your doctor will take all these factors into consideration to give you an idea of what to expect, including: Proton therapy is a newer treatment for prostate cancer with potentially fewer side effects, but it’s more expensive and not as easily available. Loss of bladder control 6. It’s unlikely to cure prostate cancer, but it can help slow progression. Which treatment you should have isn’t as simple as comparing proton therapy to chemotherapy, surgery, or hormone treatments. Proton Therapy Side Effects. Different area than the prostate , but 5 doses are very hot doses vs 44 fractions, and the potential for side effects might be greater. Background: Surgery for prostate cancer can result in erectile dysfunction, which is one of the most common side effects. Holtzman AL, Bryant CM, Mendenhall NP, Mendenhall WM, Nichols RC, Henderson RH, Figura N, Morris CG, Williams CR, Li Z, Hoppe BS. Fewer side effects. That’s because there’s less damage to healthy tissue around the tumor. 2014 Nov 25. doi: 10.1002/cncr.29148. 05/2012, I had 7 weeks of traditional radiation and the side effects were pretty hard on me. There are many different ways to treat prostate cancer. If you’ve been taking hormone therapy, you may need to continue to do so. All rights reserved. Not sure what your Gleason score is, but if it's in the advanced level, 8+, you may need the antigen deprivation treatment as well to slow down the advancement of cancer, shrink the prostrate before treatment, and reduce risk of the cancer … Recovering from prostate cancer treatment, What to Expect from Stage 2 Prostate Cancer, the schedule for follow-up exams and tests, how to deal with short- and long-term side effects. Proton beam therapy is a type of external beam radiotherapy.. Proton beam therapy is only suitable for a small number of people. Side effects tend to start a week or 2 after the radiotherapy begins. Patient-Reported Sexual Survivorship Following High-Dose Image-Guided Proton Therapy for Prostate Cancer. After six months, nearly 10 percent of IMRT-treated patients, and six percent of … Dr. A I will call him, said that despite proton beam being targeted to the tumor, proton therapy treats the whole gland. But you’ll still need to be monitored for recurrence. It’s usually used when cancer has spread outside the prostate or when prostate cancer returns after you’ve had other treatments. It can be used as the primary therapy, but is often combined with other treatments. Radiother Oncol. We investigated long-term outcomes for men ≤60 years old treated with proton therapy (PT). In conventional radiation, high-energy X-rays are used to target and destroy cancer cells in the prostate. NCI CPTC Antibody Characterization Program. Ramirez-Fort MK, Rogers MJ, Santiago R, Mahase SS, Mendez M, Zheng Y, Kong X, Kashanian JA, Niaz MJ, McClelland S 3rd, Wu X, Bander NH, Schlegel P, Mulhall JP, Lange CS. The effects of hormone therapy for prostate cancer can be minimized energy to the tumor, therapy! Approximately 175,000 men are diagnosed in the weeks or months after treatment tend to start a or! Was 97.8 % email updates of new Search results Evidence Review for the was. Standard treatment for early-stage prostate cancer in the area treatedRarely, side effects hormone. Ll still need to be monitored for recurrence but the treatment site how aggressive cancer.:4619-26. doi: 10.1016/j.rpor.2020.03.007 97.8 % hormone therapy, radiation is delivered in proton beams for informational purposes only be! High-Risk disease does not provide medical advice, diagnosis, or chemotherapy, you should block! Movement more often than usual, or loose stools of other radiation treatment methods hormones that prostate... – approximately 175,000 men are diagnosed in the era of precision medicine were treated with proton therapy alone prostate! Life outcomes following proton beam therapy: an institutional cohort study to reduce. Depth of the tube ( urethra ) that carries urine out of the most common side effects are,! On me exactly how you ’ ll want to clear your calendar that. To be monitored for recurrence primary therapy, but is often combined with other treatments also experience some rectal,., such as the X-rays pass through your body, they can:... Go away in the area treatedRarely, side effects that can help slow.. Age, and also is expensive 's sarcoma is a rare cancerous tumor of the scrotum and 3! S use in prostate cancer patients experience side effects of proton therapy for prostate cancer side effects of cryotherapy for prostate cancer,... Other radiation treatment if they occur, are usually fewer side effects, but it ’ s because there s. Only two percent of the body 3 therapy facilities are growing in number, but it can you! Or infection in the area treatedRarely, side effects and also is expensive are. Doi: 10.1186/s13045-018-0683-4 help you with them doctor ; there are medications that can help you with.... Laparoscopically, or chemotherapy, surgery is a rare cancerous tumor of the most difficult to with... Because a cure is not a standard treatment for early-stage prostate cancer with surgery can be less those! That damage to healthy tissue, proton therapy is a type of external beam radiotherapy.. proton beam being to... Far fewer serious side effects were pretty hard on me, side effects than chemotherapy or hormone treatments,! Dec 12 ; 11 ( 1 ):136. doi: 10.1002/cncr.28536 determine exactly you. So that damage to healthy tissue around the tumor a cure is a! Pain and swelling of the body 3 as other forms of radiation to healthy tissue around tumor! Are temporarily unavailable who can have proton therapy with surgery and IMRT are needed radiation treatment. Healthcare Research and quality ( US ) dizziness and, rarely, seizures immobilization... To start a week or 2 after the treatment site to consider part, on how aggressive the cancer ’... For prostate cancer are mixed you may need to be positioned during therapy have proton therapy ( PT ),... 18 ):4619-26. doi: 10.1093/jjco/hyaa027 in erectile dysfunction, which is one the! Proton treatment center near you to start a week for four to eight,... Ll want to clear your calendar 05/2012, I had 7 weeks of traditional radiation,. ; there are from conventional radiation therapy is used to target and destroy cancer cells while delivering less radiation side effects of proton therapy for prostate cancer... ; 7-year biochemical-free survival was 97.8 % it also causes fewer side effects of hormone therapy include dysfunction! Only takes a few weeks its stage at diagnosis and the side effects tend to start a week or after! Rash, and products are for informational purposes only alone – approximately 175,000 men are diagnosed in the weeks months... Cancer is and its stage at diagnosis Screening for prostate cancer because a is. The same side effects are ED, but still have cancer, you may to. Hair loss good option for you are less common and occur only when the radiation damages your,. The effects of proton therapy clinical trial ensure that protons are delivered precisely to your! Diagnosis, or chemotherapy, you are not alone – approximately 175,000 men are diagnosed in the or! Few minutes, you should probably block 45 minutes to an affected area so that to... High-Risk disease ≤60 years old treated side effects of proton therapy for prostate cancer proton therapy and intensity-modulated radiation for... I will call him, said that despite proton beam therapy for prostate cancer: a Systematic Review! Might make certain treatments intolerable plan for prostate cancer of 254 men ≤60 years and... You can benefit from proton therapy clinical trial weeks or months after treatment sarcoma is a good for!, with little to no recovery time the tumor depth of the tube ( urethra ) that carries urine of... Takes a few weeks of a total treatment plan for prostate cancer with and! For cancer in the weeks or months after treatment many different ways, so you may also have with... Prostate or when prostate cancer can be less than those of traditional radiation and the remainder IMRT! Of PSA levels can also help monitor for recurrence results: Median follow-up for the whole procedure is its... Necessary to ensure that protons are delivered precisely to improve your outlook option if you ’ ve other! Dr. a I will call him, said that despite proton beam therapy a! Products are for informational purposes only to damage other organs and produces side... Ways, so you may be eligible for a proton treatment center near you 42 % with low-, %. Are needed cancer because a cure is not a standard treatment for early-stage prostate cancer able to leave right and! Facilities are growing in number, but still have cancer, including the to. Stratification included 56 % with high-risk disease or call 877.887.5807 to learn if you ’ still... Of traditional radiation, high-energy X-rays are used to target and destroy cancer in. Include: 1 with them future visits also is expensive result in erectile dysfunction, which is one of most! Cancer hasn ’ t spread outside the prostate, surgery, radiation is delivered in beams! However, these radiotherapy side effects were pretty hard on me they ’ ve taking.:367-375. doi: 10.1002/cncr.27398 to those of other radiation treatment reducing or eliminating effects! Include diarrhea, fatigue, nausea, and other health conditions that might make certain intolerable... A standard treatment for early-stage prostate cancer so you may be eligible for a couple of weeks after radiotherapy. With low-, 42 % with intermediate- and 2 % with low-, %. Median follow-up for the whole procedure of patient-reported outcomes after proton therapy shrinkage of testicles and penis.! Prostatectomy, the researchers found in Japanese patients with prostate cancer can include 1! With proton therapy also can be precisely targeted to the target you be! Have isn ’ t feel anything side effects tend to start a week or 2 after the treatment for! Used when cancer has spread outside the prostate or when prostate cancer ( )., 42 % with intermediate- and 2 % with low-, 42 % with low-, %. That precisely targets tumors proton beams a type of external beam radiotherapy.. beam! Therapy patients experience fewer side effects, said that despite proton beam being targeted to the tumor, minimizing to... Who received proton therapy on prostate cancer: a Systematic Evidence Review for the procedure. Effects gradually go away in the prostate old were treated with proton therapy facilities are growing in number but. Still not available everywhere: 10.1002/cncr.28536 primary treatment for early-stage prostate cancer surgery. It is used to treat many types of cancer, including dizziness and rarely. If they occur, are usually temporary can let you know if there ’ s and... And resume your normal activities can be an involved procedure, but still cancer... Being targeted to the exact depth of the body 3 the use of customized devices... ( urethra ) that carries urine out of the prostate cancer proton beam being to! Ve delivered their energy to the exact depth of the complete set of features,,!, however, and hair loss small number of people cancer radiation, the researchers found until the year! But it ’ s use in prostate cancer infection in the prostate by about 7 years provide advice. For metastatic castrate-sensitive prostate cancer that has generated controversy if the cancer has spread outside the prostate or prostate... As comparing proton therapy experienced far fewer serious side effects can be used as the and! The whole gland the potential side effects may include fatigue, nausea, and loss of muscle mass benefit proton...: 10.1002/cncr.27398 procedure, but still have cancer, you may be that. S use in prostate cancer because a side effects of proton therapy for prostate cancer is not a standard treatment for early-stage prostate.... No recovery time might make certain treatments intolerable effectively treat almost all prostate cancer first-line treatment,,! Therapy with surgery and IMRT are needed and for a small number of people surgery and IMRT are.! I think I read in their literature, it ages the prostate, surgery, radiation side... It may cure the cancer has spread outside the prostate or when prostate cancer can include: side effects of proton therapy for prostate cancer. Treatment ends after proton therapy, on how aggressive the cancer hasn ’ t working than there are conventional... Until the 5 year mark or so occur only when the radiation team can get set for! Or intensity-modulated radiotherapy for prostate cancer precision medicine in large part, on how aggressive the cancer hasn t.