Urol. praxi, 2011; 12(5): 292-294

Prostate cancer radiotherapy - related complications, their prevention and treatment

MUDr.Irena Čoupková, MUDr.Petr Čoupek, MUDr.Pavel Krupa, prof.MUDr.Pavel Šlampa, CSc.

Klinika radiační onkologie LF MU, Masarykův onkologický ústav, Brno

Radiotherapy for prostate cancer is connected with urinary and gastrointestinal toxicity. We distinguish two types of adverse effects: early

(acute) and late (chronic). In the course of radiotherapy and shortly after the treatment completion we can expect intestinal frequency,

tenesmus, diarrhoea, rectal bleeding, pollakisuria, dysuria, acute urinary retention and hematuria. Late sequelae of radiotherapy originate

several months till years after the treatment and manifest as postradiation proctitis and cystitis, rectal a urethral strictures, ulcers,

bowel obstruction and perforation and fistulae. 40–50 % patiens with prostate cancer treated with external beam radiation therapy

have erectile dysfunction. Patient co-operation and régime and dietary arrangements are important in prevention of postradiation

complications. Treatment of less serious complications is symptomatic, serious acute and late sequelae of treatment are subjekt matter

for gastroenterologist and urologist.

Keywords: prostata cancer, radiotherapy, sequelae of radiotherapy

Published: November 1, 2011  Show citation