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GYW
New Member


Date Joined Jan 2009
Total Posts : 3
   Posted 1/16/2009 8:47 PM (GMT -7)   
I would like hear from any of you who have had experience with Brachytherapy..Prostate seeding. I am considering it. Thanks GYW.

zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 1/17/2009 5:33 AM (GMT -7)   
Go to www.yananow.net (mentors list) contact some of those patients

See: www.rcog.com
www.dattoli.com

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)


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4015
   Posted 1/17/2009 5:40 AM (GMT -7)   

Dear GYW:

I responded to your previous post on this as did several others.  I would refer you back to that one for those comments.

Tudpock


Age 62
Gleason 4 +3 = 7
T1C
PSA 4.2
2 of 16 cores cancerous
27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 12/30/08.


GYW
New Member


Date Joined Jan 2009
Total Posts : 3
   Posted 1/17/2009 7:24 AM (GMT -7)   
Dear Tudpock: Others: I'm just learning to navigate this site and even though I had looked several times for feed back to my first post but ,for some reason, didn't see any so I posted a second time. Thanks for the perspectives. I understand that my Dr. has done a bazillion of these seedings so I am confident about his qualifications. It is just that staring into the "unknown." Thanks. GYW.

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4813
   Posted 1/17/2009 7:38 AM (GMT -7)   

Clicking on this link will take you to your other post:

http://www.healingwell.com/community/default.aspx?f=35&m=1353526

 


Age 53   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
 
06/25/08 - Da Vinci robotic laparoscopy
Catheter in for five weeks.
Dry after 3 months.
 
10/03/08 - 1st Quarter PSA -> less then .01
NEW-> 01/16/09 - 2nd Quarter PSA -> less then .01
 
Surgeon - Keith A. Waguespack, M.D.
Las Colinas and Plano Offices 


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4015
   Posted 1/17/2009 8:02 AM (GMT -7)   

GYW, no problemo...glad you found the other post.  I understand that feeling of staring into the unknown and so does everything else on this forum.  If you have an experienced guy, things should go fine.  As I told you earlier, I'm about 2 months ahead of you on this.  I've gone from thinking about my cancer everyday pre-procedure to having it be mostly an afterthought post-procedure.  Everything, and I mean everything, is great and I'm sure it will be for you.  Let me know if I can help in any way.  And, if you have private questions you don't want on the forum, please let me know and we can email...

Tudpock


Age 62
Gleason 4 +3 = 7
T1C
PSA 4.2
2 of 16 cores cancerous
27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 12/30/08.


RBinCountry
Regular Member


Date Joined Apr 2008
Total Posts : 270
   Posted 1/17/2009 10:50 AM (GMT -7)   
GYW,
Welcome to the place no one wants to be, but where there is great wisdom and experience.

I began my PC journey toward brachy as my experienced urologist was a seed man, and very high on its ability to cure. He gave me a lot of statistics which indicated it had a better cure rate at 10 years than did surgery. I later found out the criteria or standard for cure was a little different between radiation and surgery survivors - not that they are not similar and both successful.

I had scheduled the seed implant, when in further discussion the doctor decided I should also have a Lupron shot (which I took a four month shot with the prospect of being on Lupron for 8 months), and then he stated that he felt I should also have external beam radiation prior to the seed implant - shoot all the guns. He called it the "blue plate special." What I did not understand was my biopsy at the time was at the least borderline and this was the reason for his pushing all the cure buttons from the radiation side. During the course of evaluating all this, I switched to DiVinci surgery.

Your writing does not include your signature regarding your PC status, but I have stated my case before you not to discourage you, but to make sure you know all the ins and outs of your situation up front. In my case the initial doctor did not tell me everything up front - he kept unveiling more to me on each doctor visit. I wanted all the facts on the table to make a decision, not have it unfolded to me according to a sales pitch. What you will generally experience is that radiation doctors try to sell you on radiation, and surgery doctors try to sell you on surgery. Be sure you have all the facts and thoroughly understand what is required and what to expect from your decision. The bottom line is you are the person who will have to live with whatever you decide to do.

RB
Age 61 (now 62)
Original data - pre-operation
PSA: 5.1
T1C clinical diagnosis, Needle biopsy - 10 cores, Gleason 7 = 3+4 in 1 core (40%), 7 cores Gleason 6 = 3+3 ranging from 5% to 12%
All scans negative
Lupron administered 4/9/2008 for 4 months (with idea I would undergo external beam radiation followed by seed implants - then I changed my mind).
Robotic DiVinci surgery - Dr. Fagin (Austin) May 19th
Post operative - pathology
pT2c NX MX
Gleason 3+4
Margins - negative
Extraprostatic extension - negative
seminal vesicle invasion - uninvolved
1st Post PSA <.04
2nd Post PSA <.1 10/30/2008

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