Prostate Cancer Treatment in Kharkiv: HDR Brachytherapy vs. Surgery vs. External Beam Radiation Therapy
Choosing the optimal treatment for localized prostate cancer is a critical decision that directly impacts the patient's quality of life and long-term prognosis.
High-Dose-Rate Brachytherapy (HDR), radical prostatectomy, and
external beam radiation therapy (EBRT) are the three primary radical approaches recommended by current international protocols.
At the Brigid Medical Center in Kharkiv, we provide a detailed comparative analysis of each method to help patients make an informed decision, taking into account the stage of the disease, comorbid factors, and individual priorities.
Brief Comparison of Methods
HDR Brachytherapy
Maximum treatment precision. Radioactive radiation is delivered directly inside the prostate through temporary applicators, minimizing the radiation load on the bladder and rectum.
Radical Prostatectomy
Surgical removal of the prostate gland. Can be performed via open, laparoscopic, or robot-assisted methods (Da Vinci system).
External Beam Radiation Therapy (EBRT)
Non-invasive prostate irradiation from the outside using a linear accelerator (IMRT, VMAT, SBRT). The course is lengthy but does not require surgical intervention.
Key Comparison Criteria
1. Oncological Effectiveness
- HDR Brachytherapy: Local disease control exceeds 95% for low and intermediate risk; outcomes are comparable to surgical treatment.
- Surgery: Effective for localized stages, but the result depends on the surgeon's experience and the extent of the oncological process.
- EBRT: Modern techniques provide high control, often used in combination with hormone therapy.
2. Impact on Quality of Life
- Urinary Function:
- HDR: Possible temporary irritation; low risk of long-term complications.
- Surgery: Risk of urinary incontinence, which usually decreases over time.
- EBRT: Possible frequent urgency and radiation cystitis, which are typically temporary.
- Sexual Function:
- HDR: Lower and more gradual risk of developing erectile dysfunction.
- Surgery: Highest risk due to potential damage to the neurovascular bundles.
- EBRT: Moderate risk with gradual development over several years.
- Bowel Function:
- HDR: Minimal impact due to localized action.
- EBRT: Possible radiation proctitis, which occurs rarely with modern technologies.
3. Treatment Process
- HDR: 1–2 short hospitalizations; rapid return to an active life.
- Surgery: Longer rehabilitation period, necessity of catheterization, and physical restrictions.
- EBRT: Performed as an outpatient; daily sessions for 7–9 weeks.
Consultation on Prostate Cancer Treatment in Kharkiv
Brigid Medical Center stands for modern oncology, radiotherapy, and an individual approach to every patient. We will help you choose the treatment method that is best for you.
Oncological Treatment in Kharkiv According to International Standards
Multidisciplinary Team • Evidence-Based Medicine • Advanced Technologies
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