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The most common short-term side effects of radiation therapy for prostate cancer include fatigue, slight reddening of the skin in the treatment area, temporary lowering of blood counts, and urinary and bowel side effects. Brachytherapy and radium 223 dichloride may have some additional or different side effects.
The side effects of prostate radiation can be explained by the anatomy of the prostate in relation to other structures in close proximity. The prostate lies directly below the bladder and surrounds the urethra, which allows urine to pass from the bladder. The rectum is behind the prostate and the nerves that control erections surround the prostate. Below are some of the possible side effects of radiation.