I had seeding in May and 6 week later had 25 sessions of IMRT. The seeding was an hour procedure and I resumed all of my daily activities the next day. I had urinary urgency and frequency for about
4 weeks that was very controllable with Flowmax and didn't impede anything I wanted to do. The followup radiation for 5 weeks had no affect at all on me. I couldn't even tell if I was getting it. It's been 3 months since I completed all treatments and I've never had the slightest problem; like it never happened.
You have to do your research and find good doctors, as both treatments vary with the doctor's skill. The only reason you would want to do both, instead of seeds only, is if the tumor is large or you have a Gleason 7 or higher where you may need a higher dose or radiation.
The cure rate for seeds is exactly the same as for surgery and without question the side affects are much less severe. If you have anymore questions ask them on this thread and we will try to answer them.
64 years old.
PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.
2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology 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. G7, 4+3, approx 16mmX18mm.
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. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.
Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.
25 treatments of IMRT 6 weeks after seed implants. No side affects at all.
PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.