Another form of high-dose radiotherapy is interstitial brachytherapy, which involves the introduction of high doses of radiation directly to the site of the cancers through a set of catheters introduced to the prostate through the perineum. I had this procedure done over the course of six days in early 2006, and after about
10 days, had absolutely no classic radiation symptoms. My PSA score came down very quickly and as of today, is below .1. Dr. Jeffrey Demanes, who is now at UCLA, is one of the leading practioners of this treatment, but I know there are other doctors and treatment centers in the U.S. offering this form of treatment.
Age 54 at DX. Gleason 6, PSA 4.2, a .78 rise in one year.
Had High Dose rate brachytherapy at California Endocurie Therapy Center in Oakland, CA in February of '06. Very successful - PSA came down quickly and steadily to current .08. No problems.
Developed flow restriction in summer of '08 - had bladder neck resection in March of '09 - immediately incontinent, immediately in severe and constant pain, ultimately left job because I could not function because of pain and incontinence.
Started hyperbaric oxygen therapy (HBOT) three weeks ago - pain virtually gone, blood in urine down to "trace" levels, still pretty leaky. HBOT has been a godsend with respect to reducing the pain!
Considering sling procedure to get control of leakage.