Version May 2024
| External beam radiation therapy |
| Significant risk of erectile dysfunction |
| Lack of lymph node removed; late rectal symptoms more common than with brachytherapy or radical prostatectomy |
| Knowledge of possible metastasis to lymph nodes is not available |
| Up to one-half of patients have some temporary bladder or bowel symptoms during treatment |
| Brachytherapy |
| Significant risk of erectile dysfunction |
| Lack of lymph node removed; knowledge of possible metastasis to lymph nodes is not available |
| Up to one-half of patients have some temporary bladder or bowel symptoms with treatment; there may be exacerbation of preexisting lower urinary tract obstructive symptoms |
| Radical prostatectomy |
| Significant risk of erectile dysfunction |
| Risk of operative morbidity |
| Low risk of long-term incontinence |
| Active surveillance |
| Tumor may progress beyond the possibility for cure |
| Later treatment may result in more side effects |
| Living with untreated cancer may cause anxiety |
| Need for follow-up MRI and prostate biopsies to assess for progression |
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