Prostate cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Biopsy-proven adenocarcinoma 2) MRI, CT, bone scintigraphy were done, and no lymph node or distant metastasis was detected 3) T1c-4N0M0 4) Intermediate- or high-risk prostate cancer (any of T2b-4, GS >=7, or PSA >=10) 5) No neoadjuvant hormone therapy or <= 1 year if any 6) No apparent deficiency of hematological tests 7) Candidacy of epidural anesthesia 8) Age >=20, <80 9) Written informed consent obtained
Exclusion criteria
Exclusion criteria: 1) Active other malignancy 2) Uncontrollable diabetes mellitus 3) Unstoppable anticoagulant drugs 4) Severe neurocognitive disease 5) Collagen disease 6) Previous surgery or irradiation to the pelvis 7) Previous TUR-P 8) Severe BPH or lower urinaly tract symptoms 9) Low-risk prosatate cancer 10) High-risk prostate cancer with all 3 factors of T3-4, GS >=, and PSA >=20 11) Neoadjucant hormone therapy >1 year 12) Castration-resistant prostate cancer 13) The physician juddged contraindication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 5-year actuarial biochemical control rate | — |
Secondary
| Measure | Time frame |
|---|---|
| 5-year actuarial rate of late adverse events (genitourinary and gastrointestinal Grade 3 or more), 5-year actuarial rate of late adverse events (genitourinary and gastrointestinal Grade 2 or more), and QOL questionnaire (EPIC + SF-8) | — |
Countries
Japan
Contacts
Osaka University Graduate School of Medicine Radiation Oncology