Complications other than urinary incontinence or erectile dysfunction occur frequently following treatment for prostate cancer (PCa), according to new findings published online in The Lancet Oncology.

In a retrospective study of 32,465 PCa patients who underwent radical prostatectomy or radiotherapy alone, the five-year cumulative incidence of hospital admission for a treatment-related complication, needing a urologic procedure, a rectal or anal procedure, or an open surgical procedure was 22.2%, 32.0%, 13.7%, and 0.9%, respectively, Robert K. Nam, MD, of the University of Toronto, and colleagues reported.

The five-year cumulative incidence of a second malignancy was 3.0%. At five years, patients who received radiotherapy had more rectal or anal procedures, open surgical procedures, and second malignancies than those who had surgery, but surgery patients had more urologic procedures.

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