Can you have prostate surgery after radiation treatment?

Yes, it is possible to have prostate surgery after radiation treatment. However, the timing and type of surgery may depend on various factors, including the initial treatment plan, the success of radiation therapy, and the individual's overall health. Here are some considerations:

1. Radical Prostatectomy: If radiation therapy was unsuccessful or if there is evidence of persistent or recurrent prostate cancer, a radical prostatectomy may be recommended. This surgery involves the complete removal of the prostate gland, seminal vesicles, and surrounding tissues. It can be performed after radiation therapy, but the timing may vary depending on the specific situation.

2. Salvage Prostatectomy: Salvage prostatectomy is a surgical option for men who have undergone radiation therapy but still have detectable prostate cancer. It is typically considered when radiation therapy fails to control the cancer or if the cancer recurs after an initial response to radiation. The timing of salvage prostatectomy can vary, but it is often performed several months to years after radiation treatment.

3. Other Surgical Procedures: In some cases, other surgical procedures, such as transurethral resection of the prostate (TURP) or laser prostatectomy, may be performed after radiation therapy to address symptoms related to prostate enlargement or obstruction.

It is important to note that the decision to undergo prostate surgery after radiation therapy should be made in consultation with a healthcare professional, such as a urologist, who can assess the individual's specific situation and determine the most appropriate treatment approach.