Are the quality of life complications associated with radical prostatectomy less, comparable, or greater than brachytherapy?
There is a paucity of clinical outcome research that rigorously assesses continence, potency, lower urinary tract symptoms, and rectal symptoms following radiation therapy. Continence following radical prostatectomy and radiation therapy are comparable. There is a greater likelihood that erectile function will be preserved following radical prostatectomy when an expert in the nerve-sparing technique performs this surgery. Rectal symptoms are only associated with radiotherapy. Several studies have shown that urinary symptoms improve rather than deteriorate following radical prostatectomy.
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