%0 Journal Article %T Toxicité et qualité de vie comparées après curiethérapie par iode 125 et radiothérapie stéréotaxique des cancers prostatiques [Toxicity and quality of life comparison of iodine 125 brachytherapy and stereotactic radiotherapy for prostate cancers] %+ Service de radiothérapie %+ CRLCC Eugène Marquis (CRLCC) %+ Laboratoire Traitement du Signal et de l'Image (LTSI) %+ Institut de Cancérologie de l'Ouest [Angers/Nantes] (UNICANCER/ICO) %+ Centre Hospitalier Universitaire de Nîmes (CHU Nîmes) %+ Centre Léon Bérard [Lyon] %+ Groupe d'Analyse et de Théorie Economique Lyon - Saint-Etienne (GATE Lyon Saint-Étienne) %A Gnep, K. %A Lizée, T. %A Campillo-Gimenez, B. %A Delpon, G. %A Droupy, S. %A Perrier, Lionel %A Crevoisier, R., De %< avec comité de lecture %@ 1278-3218 %J Cancer/Radiothérapie %I Elsevier Masson %V 21 %N 6-7 %P 478-490 %8 2017 %D 2017 %R 10.1016/j.canrad.2017.07.043 %M 28888746 %K Male %K Iodine Radioisotopes %K Curiethérapie %K Humans %K Radiothérapie stéréotaxique %K Brachytherapy %K Prostatic Neoplasms %K Stereotactic radiotherapy %K Radiosurgery %K Cancer de la prostate %K Prostate cancer %K Quality of Life %Z Humanities and Social Sciences %Z Humanities and Social Sciences/Economics and FinanceJournal articles %X Quality of life is a major issue for good prognostic prostate cancer, for which brachytherapy is one of the reference treatments. Stereotactic Body Radiotherapy (SBRT) is a recent alternative however not yet validated as a standard treatment. This review of the literature reports and compares the toxicities and the quality of life, either after exclusive brachytherapy with iodine 125 or after SBRT. The comparison is made with the limitations of the absence of randomized trial comparing the two treatment techniques. Acute toxicity appears to be lower after SBRT compared to brachytherapy (from 10 to 40 % versus 30 to 40 %, respectively). Conversely, acute and late gastrointestinal toxicity (from 0 to 21 % and from 0 to 10 % of grade 2, respectively) appears more frequent with SBRT. Late urinary toxicity seems identical between both techniques (from 20 to 30 % of grade 2), with a possible urinary flare syndrome. Both treatments have an impact on erectile dysfunction, although it is not possible to conclude that a technique is superior because of the limited data on SBRT. SBRT has better bowel and urinary (irritation or obstruction) quality of life scores than brachytherapy; while sexual and urinary incontinence remain the same. The absence of randomized trial comparing SBRT with brachytherapy for prostate cancers does not allow to conclude on the superiority of one technique over another, thus justifying a phase III medicoeconomic evaluation. %G French %L hal-01618005 %U https://univ-rennes.hal.science/hal-01618005 %~ SHS %~ UNIV-ST-ETIENNE %~ ENS-LYON %~ UNIV-RENNES1 %~ CNRS %~ UNIV-LYON1 %~ UNIV-LYON2 %~ LTSI %~ GATE %~ AO-ECONOMIE %~ FNCLCC %~ MARQUIS %~ ICO %~ GATE-PPE %~ STATS-UR1 %~ UR1-HAL %~ UR1-MATH-STIC %~ TEST-UNIV-RENNES %~ TEST-UR-CSS %~ UNIV-RENNES %~ LYON2 %~ UDL %~ UNIV-LYON %~ TEST-HALCNRS %~ UR1-MATH-NUM %~ UR1-BIO-SA %~ GATE-DIVER