Question about brachytherapy (was no subject)

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dmc24
Regular Member


Date Joined Aug 2007
Total Posts : 37
   Posted 9/29/2010 9:15 AM (GMT -6)   
I have a question, my husband is thinking about having the brachytherapy done, how can he find results of the doctors in our area or the hospitals. Anyone have any clue?


Thanks.

Post Edited By Moderator (TC-LasVegas) : 9/29/2010 11:22:46 AM (GMT-6)


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 9/29/2010 12:23 PM (GMT -6)   
Hi dmc,
I added a topic as we now require them in posts. It should also help you get responses from the guys with experience with brachytherapy.

Tony
Disease:
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
RALP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.

Status:
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas

Blog : www.caringbridge.org/visit/tonycrispino

John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4268
   Posted 9/29/2010 3:03 PM (GMT -6)   
I would visit several brachytherapists and ask them to supply information. Make sure the doctor has done at least 250 procedures, 500 is better. He should use a Uro to assist him and scope the bladder right after the procedure. He should also do a CT scan 2 weeks later to verify seed dispersion. If the doctor does not do these two quality control protocols then don't let him work on your husband.
If really concerned you can travel to one of the better centers to insure that you are getting the best. Dattoli in Sarasota Fla, Grimm or Selvester at the Seattle Prostate instutute or the Chicago Prostate institute.
JT

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.

JohnT


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 9/29/2010 4:33 PM (GMT -6)   
You are getting good advice. Can you post your husband's stats so we have a better idea of his condition

As you can see, I was a surgery guy, but my younger brother did brachy and it has turned out very well.

Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4271
   Posted 9/29/2010 6:56 PM (GMT -6)   
DMC, the only thing I'll add to JT's excellent advice to let you know that several of us on this forum are BT patients and seem to be pleased with our choice.  For men who are good candidates for the procedure, it's a fine blend of being curative with better of quality of life than some of the other alternatives.
 
Tudpock (Jim)
Age 62 (64 now), G 3 + 4 = 7, T1C, PSA 4.2, 2/16 cancerous, 27cc. Brachytherapy 12/9/08. 73 Iodine-125 seeds. Procedure went great, catheter out before I went home, only minor discomfort. Everything continues to function normally as of 9/10/10. 6 month PSA 1.4, 1 year PSA at 1.0. My docs are "delighted"! My journey:
http://www.healingwell.com/community/default.aspx?f=35&m=1305643
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