Larger Prostates Showed Post-Radiotherapy Urinary Symptom Normalization

A retrospective study presented at the 2026 ASTRO meeting indicates that patients with larger prostates see their urinary symptoms normalize after radiotherapy similarly to those with normal-sized glands. This finding challenges previous assumptions that larger prostate volume would lead to worse long-term quality of life outcomes.
Why it matters
This research provides clinicians with new data to improve patient counseling and expectations management for prostate cancer radiotherapy.
At the 2026 American Society for Radiation Oncology (ASTRO) Annual Meeting, Allen Khodab, MD, discussed how patients with larger prostates experienced International Prostate Symptom Scores (IPSS) score reductions that normalized to the same level as those with normal-sized glands; a finding that exceeded initial expectations and offers a new data point for clinicians counseling patients ahead of treatment.
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