Brachytherapy Yesterday

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Regular Member

Date Joined Oct 2009
Total Posts : 420
   Posted 12/12/2009 12:13 PM (GMT -6)   
Had BT performed yesterday morning a 7:30 AM. Procedure lasted one hour. I ended up with 84 seeds of Palladium 103. I woke up in recovery at 10 AM and was discharged to go home (without a catheter) a little after noon. I have experiened nothing so far that I was not told to expext by the urologist and/or radiologist. The only surprise so far has been a raw throat caused by the breathing tube used by the anesthesiologist. By tomorrow, I plan to be back on my normal routine which includes walking.
In 2 months, I will begin 25 sessions of IGRT. In the meantime, I will post anything that I experience that is unusual or unexpected from the BT.
I want to again thank all the members who post on this forum for their advice, counsel and opinions, irregardless of the treatment option each of you may have chosen. It all helped me sort through a stressful time and finally make a decision with which I am very comfortable.
Age - 67 PSA - 4.5 Gleason - 3+3=6  CT and Bone scans - negative
Biopsy - Cancer in 5 of 8 sections the 5 sections - 5 of 11 cores positive
BT performed 12/12/09 - 84 seeds of Palladium 103

Elite Member

Date Joined Oct 2008
Total Posts : 25355
   Posted 12/12/2009 12:28 PM (GMT -6)   

Happy to hear your seeding went so well. It's not unuusal to have the throat irratation from the breathing tube, that should clear up in a few days on its own.

Please keep us posted on your journey, I hope the rest of goes that easy for you, and more importantly, that it works and rids you of your PC.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys ,cath #8 33 days, Cath #9 in 35 days, 12/7/9 - Cath #10 in place

Veteran Member

Date Joined May 2009
Total Posts : 2691
   Posted 12/12/2009 1:20 PM (GMT -6)   
Welcome and thanks for sharing.

Here's hoping those little suckers are already gasping for breath.

Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injections

Regular Member

Date Joined Oct 2009
Total Posts : 32
   Posted 12/12/2009 1:22 PM (GMT -6)   
Glad it went well for you. Hang in.
Age: 63
Gleason: 8 (5+3) Biopsys ranged from 90% to 100%
Refused surgery and hormone therapy. Doctor really made an argument for benefits of hormone therapy, I could not accept the consequences.
28 IMRT treatments.  Originally scheduled to get seed implants but doc decided that due to my prognosis High Dose Rate Brachythrapy was a better path to attempt.
PSA: 13
Let the chips fall where they may.

John T
Veteran Member

Date Joined Nov 2008
Total Posts : 4171
   Posted 12/12/2009 6:42 PM (GMT -6)   
A couple of tips. Don't drink any caffine or alcohol. Take Ibupropin to keep the swelling down, And if going on a long drive take a pee bottle with you as you will experience urgency and may not find a rest stop in time.
Good luck and keep us posted on your progress.

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.


Regular Member

Date Joined Dec 2009
Total Posts : 97
   Posted 12/13/2009 12:02 PM (GMT -6)   
Welcome Joe,Hope all goes well for you.

age 55dx 12-2008,psa at biopsy 8.6
biopsy 12/12 gleason 3+4=7
da vinci surgery 6-09 by DR. John W. Scott (my hero)
Hospital 3 days cath 7days still leaking from cough(bad lungs)
still have ed may be the hormones.
9-09 psa 2.2 hormone inj
10-09 nuclear bone scan no results yet I will have gold markers placed 12-29-09
start rad 1-10-09
organ confined
extracapsular seminal vesicle involvement
lymph node involvement

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 12/13/2009 3:33 PM (GMT -6)   
Good luck, Joe, I wish you well on your way to recovery and healing. Be sure to check back and keep us updated, ok?
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
24 mts: PSA's: .04 each test since surgery, Bimix .3ml PRN or Trimix .15ml PRN

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