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RP vx RT-- your choice

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1. Am J Clin Oncol.. [Epub ahead of print]

Is Radical Prostatectomy the " Gold Standard " for Localized Prostate Cancer?

Mendenhall WM, Nichols RC, R, Mendenhall NP.

From the *Department of Radiation Oncology, University of Florida, College of

Medicine, Gainesville, FL; and daggerThe University of Florida Proton Therapy

Institute, ville, FL.

The purpose of this article is to review the pertinent literature and compare

the outcomes after radical prostatectomy (RP) and radiotherapy (RT). The

probability of cure is similar after either RP or RT. The likelihood of

significant treatment complications is probably higher after RP compared with

RT. Preservation of erectile function is at least as good or better with RT

compared with RP. Urinary continence is more likely to be preserved after RT

compared with RP. Each treatment results in distinct patterns of adverse changes

in quality of life that are worsened by factors including obesity, large

prostate size, high prostate-specific antigen (PSA), and older age.

PMID: 20010078 [PubMed - as supplied by publisher]

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