Prostate Cancer
Conditions
Keywords
Total Androgen Suppression, Simulation, 3-D Conformal External Beam Radiation Therapy, Intra-rectal immobilization device, Quality of Life Assessment Questionnaire, Rectal Bleeding, Late effects
Brief summary
During 3D-conformal external beam radiation therapy treatments for prostate cancer, the prostate gland moves. The purpose of this study is to determine whether the placement of a prostate immobilization device into the rectum during radiation treatments will decrease the risk of rectal bleeding that is sometimes seen as a late effect from radiation.
Detailed description
* MRI using an endorectal coil done prior to treatment for staging. * Baseline Quality of Life (QOL) assessment will be completed prior to treatment. * Total androgen suppression is initiated and will continue for at least 6 months. * Prostate Immobilization Device (PID) placed during the planning session. * PID will be placed daily for the first 15 3D external beam radiation treatments. * QOL assessment and follow-up will take place every 6 months for 3 years.
Interventions
Device placed during radiation treatment
Sponsors
Study design
Eligibility
Inclusion criteria
* Biopsy proven prostate cancer * Clinical Stage T1 - T4 * Negative bone scan * PSA and routine blood work * \>30 years of age * ECOG Performance 0,1, or 2 * No prior pelvic radiation * No pacemaker
Exclusion criteria
* Inflammatory bowel disease (Crohns, or Ulcerative Colitis) * Prostatic rectal fistula * Stricture of anal canal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rectal toxicity at six month intervals | 2 years |
Secondary
| Measure | Time frame |
|---|---|
| Quality of Life | 2 years |
| urinary symptoms | 2 years |
| sexual dysfunction at six month intervals | 2 years |