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Know your patients, their disease &
your capabilities
• Patient related factors
– Symptoms, age, co-morbidity, erectile function, life expectancy, expectations
• Tumour related factors
– Stage, Gleason score, biopsy profile, presenting PSA, PSA density & velocity (if
available)
– Eg: D’Amico grouping, NCCN
(www.nccn.org)• Treatment related factors
– XRT methods (XRT, BT, CFRT, IMRT), strategies (
±
hormone therapy,
±
brachytherapy), dose-fractionation
– Resource factors: expertise, infra-structure, equipment