How to preserve potency and continence in localized prostate cancer.

Recent data show that, at 10 years of followup, overall and cancer-specific survival after RT, whether it be external beam RT (EBRT), intensity-modulated RT, brachytherapy (also called interstitial RT), or brachytherapy plus EBRT, are similar to those achieved after radical prostatectomy (RP) [5]. However, the incidence of erectile dysfunction is 43–62% at 3 years after RT [6], and pain on orgasm and haematospermia caused by brachytherapy can also affect sexual function [7]. Therefore RT does not appear to achieve the trifecta.