Both external and internal radiation therapy may be used to treat prostate cancer.

External beam radiation therapy uses radiation produced by a machine called a linear accelerator. Short bursts of x-rays are fired from the machine at your cancer. The x-rays come out in square shapes; the radiation oncologist designs special blocks or special columnators within the machine to shape the radiation beam so that it treats the cancer and as little normal tissue as possible.

There are several newer techniques that may be used in treating your prostate cancer, including conformal treatment planning and intensity modulated therapy (IMRT). These techniques allow a more precise delivery of radiation to the tumor area and may be used alone or in combination with surgery, hormonal therapy, or brachytherapy (implantation).

Radiation of a Tumor
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The side effects of radiation result from injury to the normal tissues. There are many new ways that a radiation oncologist can customize your treatment to try to kill as much cancer while sparing as much normal tissue as possible.

The radiation oncologist will determine how many treatments you will receive. Treatment generally only takes a few minutes, and the total treatment time can range from 5-8 weeks depending on the total dose required.

Radiation therapy can be given to treat cancer at its initial site or once it has spread. In some cases, once cancer has spread, radiation is no longer curative. However, the treatments can help resolve problems that the cancer may be causing, including pain and weakness.

Can you continue to receive radiation to an area that has already undergone radiation treatment? While it is true that each tissue in the body can only safely tolerate a certain dose of radiation, radiation therapy is very focused. Therefore, it is possible to receive additional treatments to an already treated area. Your radiation oncologist is the best source of information as to what dose you can safely receive.