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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.
But it can cause rectal problems such as pain and soreness, rectal urgency, and trouble controlling bowel movements (fecal incontinence). In addition, after radiation therapy, some men are treated with hormone therapy. This is used when chances are high that the cancer will come back.