Go to www.yananow.net (mentors list) contact some of those patients
Make sure whom ever does this is an expert and not some newbie doc hanging out a shingle, it is easy for docs to get quicko training and claim to be an expert at this, prime example can be seen at www.prostate-help.org (see tab for "sins of the industry")
It can have great results and it has many variations and treatment types within it.
Example: HDR (removable hi-radiation seeds) in and out quickly program (per se): termporary wire implants HDR using Iridium -192 isotope
Brachy seeds(permanent) can use different types of seeds (read about such): using permanent seeds usually Idoine- 125 isotope or palladium- 103 isotope
Some places do combo- either seeds first then external radiations or external and then seeds (Rcog vs. Dattoli as written above in that order)
You might wish to know the differences between EBRT and IMRT-for external rad. (find out)
You might wish to know the differences between IMRT and IMRT's- ext. rad. (targeting, etc.)
You might wish to know the total radiation exposure levels you might be getting if getting the combo treatments(they likely have varations)
You do need to know about all possible side effects, usually decent with experts
You need to know about radiation "bounce" what the heck is that? -(35% of patients experience this effect, and psa testing are stressful to see for awhile) The average patients might experience this within 18-20 months
You need to know what is "their" definition of cure rate (.20 psa or less?)
HDR can be used as salvage even after external radiations if it is assumed PCa would still lie within the gland (fyi).
Good hunting it can be a good way to go for alot of patients.
(Some guys herein have done this or are looking into it, hear them out for information too)
Post Edited (zufus) : 1/17/2009 7:58:18 AM (GMT-7)