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Brachytherapy
External Beam
Surgery
Less time of work
8 weeks of treatment
6 -12 weeks recovery
+ recuperation
Continence unaffected
Continence unaffected
50% immediate continence
Mild LUTS in 70%
Mild LUTS in majority
75% by 3 months
Moderate LUTS in 30%
Moderate LUTS in 50%
90-95% by 6 months
Very low gastro-intestinal
Moderate GI toxicity in majority
Extremely low GI toxicity
toxicity
Severe GI toxicity low, but dose
related
Preservation of potency
Relative preservation of potency
Potency never the same
Preservation of ejaculation
Preservation of ejaculation
True ejaculation does not
but may be reduced
but may be reduced
occur
Fertility is preserved
Potential impact on fertility
Infertile (need IVF)
Cave:
- adjunction of adjuvant external beam after surgery
- adjunction of hormonal treatment