Why adaptive radiation matters for the prostate
The prostate sits between the bladder and the rectum and shifts position based on how full each one is on a given day. Conventional radiation accounts for this by adding margin around the prostate, which means more radiation reaches the bladder and rectum than is strictly needed.
Adaptive radiotherapy on the Gemini 360 sees the prostate, bladder, and rectum on each visit and re-optimizes the plan accordingly. The high dose still lands on the prostate, but the dose to surrounding organs is consistently minimized.
What patients can expect
Most prostate patients complete the entire course in 5 visits over about 2 weeks. Each appointment takes 30–45 minutes. Typical preparation is a comfortably full bladder and an empty rectum; the team will give you a simple drink and bowel-prep schedule.
Common short-term side effects include mild urinary urgency, fatigue, and occasional rectal irritation. These usually peak within a couple of weeks of finishing treatment and then improve. Long-term side effects are uncommon when adaptive techniques and a hydrogel spacer are used.
Insurance and referrals
Adaptive SBRT for prostate cancer is covered by Medicare and most commercial insurance plans. Our team will obtain prior authorization before treatment begins and will work directly with your urologist or medical oncologist to coordinate care.
