Any local cure will work well with a G6 small core.
The color doppler can identify the cancer; it's expensive relative to a standard biopsy, but well worth it. A color doppler spotted my cancer that 12 biopsies and an MRIS had missed. I'm a true believer.
Seed are a good choice; It was 3 hours from the time I left the house to when I got back. I played golf 2 days later. The only side affects I have are frequent urination. If I had a G7 or another high risk stat then a combination seeds and IMRT would be recommended.
I can't understand the arguement that says salvage radiation is a back up for surgery. If surgery didn't get it it was because it was already out of the prostate or there was a positive margin. Radiation does a much better job with margins than surgery, and if it out of the capsul than neither will result in a cure.
The overall side affects are much better with radiation and the side affects of seeds are much better than IMRT. The reason I chose ratiation was because of the least side afffects, similar cure rates and the ability to get a better margin than surgery.
Pick up a coy of "Brachytherapy and IMRT" by Danatolli
64 years old.
PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DX BPH and continue to get biopsies yearly. Positive Biopsy in 10-08, 2 cores of 25, G6 less than 5%. Scheduled Surgery as recommended.
2nd Opinion from Dr Sholtz, an Oncologist said DX wrong, path shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G 4+3 approx 2.5cm diameter.
Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy.
Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and burining urination. Daily activities resumed day after implants.
Scheduled for 5 weeks IMRT in July