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When it comes to prostate cancer treatment, patients often focus on survival. But understanding the side effects of different treatment options is just as crucial for making an informed decision. Dr. Shirin Razdan, a urologist & robotic prostate cancer surgeon in Miami, explains potential side effects of 3 of the most common treatments for prostate cancer: Radical Prostatectomy Radiation Therapy Focal Therapy Drawing from the latest insights & her own extensive clinical experience, Dr. Razdan provides a balanced, detailed breakdown of each treatment 1. Surgery – Radical Prostatectomy Radical prostatectomy involves removing the entire prostate gland, along with some surrounding tissue. The most advanced approach — and Dr. Razdan’s specialty — is robotic-assisted nerve-sparing prostatectomy, which can help reduce side effects compared to open surgery. Potential side effects include: Urinary incontinence: Some men may experience temporary leakage after surgery. With pelvic floor exercises and time, many regain complete bladder control. Erectile dysfunction: The nerves controlling erections are delicate. Nerve-sparing techniques can preserve function in many patients, mainly when cancer has not spread beyond the prostate. Short-term discomfort: Pain, swelling, and fatigue can occur in the initial recovery phase but generally improves quickly. Advantages: Offers the most definitive cancer removal for localized disease. Pathology results post-surgery provide precise cancer staging. If cancer returns, follow-up treatments are still possible. 2. Radiation Therapy Radiation therapy uses high-energy rays to kill cancer cells. It can be given externally (External Beam Radiation Therapy) or internally via radioactive seeds (Brachytherapy). Potential side effects include: Urinary symptoms: Burning, urgency, or frequency can develop during treatment but may improve afterward. Erectile dysfunction: May develop gradually over months/years after treatment. Bowel changes: Diarrhea, rectal irritation, or bleeding can occur. Fatigue: Common during the course of treatment but usually resolves in time. Advantages: Non-invasive; no incisions. Suitable for patients who may not be surgical candidates. Outpatient treatment allows patients to maintain daily activities. 3. Focal Therapy Focal therapy treats only the cancerous portion of the prostate, aiming to preserve as much normal tissue as possible. Common types include High-Intensity Focused Ultrasound (HIFU), cryotherapy, & focal laser ablation. Potential side effects include: Urinary irritation: Burning or urgency in the short term. Erectile changes: Lower risk than whole-gland treatments but still possible. Incomplete treatment: There’s a chance cancer outside the treated area may remain. Advantages: Less invasive than surgery or radiation. Shorter recovery time. May better preserve urinary and sexual function. Cancer stage and aggressiveness (based on biopsy and imaging results) Your age and overall health Personal priorities (quality of life, sexual function, long-term survival goals) Dr. Razdan emphasizes that shared decision-making is critical. That means you & your doctor weigh the benefits and potential risks together. How Side Effects Can Be Managed The good news is that side effects can often be reduced or treated: Pelvic floor therapy can speed recovery from urinary incontinence. Medications and devices (like PDE5 inhibitors, vacuum erection devices, or penile implants) can restore sexual function. Dietary adjustments and medication can address bowel changes. Dr. Razdan’s advanced nerve-sparing robotic surgery techniques aim to minimize these risks right from the start, preserving both function and quality of life whenever possible. Dr. Shirin Razdan’s Approach As one of the few urologists in the U.S. performing Single Port Extraperitoneal Robotic Prostatectomy, Dr. Razdan offers patients: Minimally invasive surgery with smaller incisions and quicker recovery. Precision cancer removal while preserving critical structures. Personalized follow-up care focused on restoring bladder and sexual function. All treatments have side effects, but the type, severity, and duration can vary. Surgery provides definitive removal but carries temporary urinary and sexual function risks. Radiation avoids surgery but may cause gradual erectile decline and bowel issues. Focal therapy may preserve more function but might not address all cancer cells. An experienced urologist can help minimize side effects and guide you toward the best option. Schedule a Consultation If you or a loved one has been diagnosed with prostate cancer, contact us! 📅 Schedule your consultation with Dr. Shirin Razdan: https://www.miamiroboticsurgery.com 📞 Call: 305-468-3314 #ProstateCancer #ProstateCancerTreatment #RoboticSurgery #Urology #MensHealth #ProstateHealth #RadicalProstatectomy #FocalTherapy #ProstateCancerSideEffects #ErectileDysfunction #UrinaryIncontinence