Lack of energy

Many men with prostate cancer feel tired from time to time. One cause can be interrupted sleep when a man has to pass urine frequently during the night. However, radiotherapy and hormone treatment are known to affect energy*. National Institute for Health and Care Excellence (NICE) guidelines 2014 (CG175) recommends that men are told when starting hormone therapy that fatigue is a recognised side effect of this therapy and not necessarily a result of prostate cancer and they should be offered supervised resistance and aerobic exercise at least twice a week for 12 weeks to reduce fatigue and improve quality of life.

Expectations differ; some men reported that their sporting activities had become limited and others regretted that they lacked the energy to work or tackle household and garden chores. One man, who had a radical prostatectomy in 1993, also said that the operation had reduced his stamina and greatly affected his lifestyle.

Describes how a radical prostactectomy reduced his stamina and greatly affected his lifestyle.

Age at interview 63

Gender Male

Age at diagnosis 56

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Discusses how radiotherapy affected his energy levels.

Age at interview 65

Gender Male

Age at diagnosis 63

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Considers that hormone injections have caused him to feel lethargic.

Age at interview 80

Gender Male

Age at diagnosis 77

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Explains how he felt tired after radiotherapy.

Age at interview 49

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*Newer hormone therapies such as bicalutamide (Casodex) are suitable for non-metastatic disease and it does not lower testosterone so patients should not become as lethargic or fatigued.

Bowel and bladder problems

Treatments for prostate cancer such as surgery, external radiotherapy and brachytherapy may cause damage or inflammation to organs near the prostate such as the bowels...