Image-guided, dose-escalated radiation to the prostate, with rigorous sparing of the bladder and rectum — and daily image guidance to account for the small day-to-day shifts in anatomy.
Radiation is one of the main curative options for localised prostate cancer — and image guidance is what lets a high, effective dose be delivered safely.
External beam radiotherapy is delivered to the prostate, with the dose escalated for effectiveness and the bladder and rectum carefully spared. Because the prostate shifts slightly day to day, daily image guidance (IGRT) confirms its position before each treatment. In selected cases, a shorter stereotactic (SBRT) schedule may be appropriate.
Conventional treatment is delivered daily over several weeks; SBRT is far shorter. Dr. Bhatnagar will discuss which approach fits your disease and risk category, and what to expect from each.
Depending on your risk group, treatment may run over four to eight weeks of daily sessions, and some patients are suitable for a much shorter SBRT course of five sessions.
Not usually. Modern image-guided treatment keeps the dose to the bladder and rectum low. Some men notice urinary urgency during treatment that settles afterwards; erectile function can decline gradually over years, and this is discussed openly before you start.
For many men with localised disease the cure rates are comparable, and the choice comes down to your stage, age, other health conditions and which side effects you would rather avoid. Dr. Bhatnagar will give you a straight answer for your case.
The prostate shifts slightly depending on what is around it. Consistent preparation keeps it in the same position each day, so the dose lands where it was planned.
Intermediate and high-risk prostate cancer is often treated with hormone therapy alongside radiation, for a duration matched to your risk.
General information, not a substitute for a consultation. Your plan depends on your reports, stage and general health — discuss your case with Dr. Bhatnagar.
Bring your reports and scans for a consultation — he will tell you plainly whether radiation has a role.
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