Seeds vs. Surgery

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New Member

Date Joined May 2011
Total Posts : 2
   Posted 5/10/2011 6:17 PM (GMT -6)   
How does treatment with radioactive seeds (with or without IGRT) compare to surgery in terms of 1) getting rid of the cancer 2) negative side effects 3) recovery period 4) reoccurance of the cancer rolleyes

Going for brachy
Regular Member

Date Joined Apr 2011
Total Posts : 201
   Posted 5/10/2011 7:05 PM (GMT -6)   
Which treatment is best for you depends on your diagnosis and your age at diagnosis. In most cases, radiation and surgery have similar success rates. However, some of the side effects are different. In my case, I did extensive study on internet and reading some books. I decided on seed implant. ED and incontinence is usually milder for seed implant. Of course, there can be wide variation from person to person. 
Age 70
PSA 3.4 January 2011
Biopsy Feb 2011 Gleason 3 + 3 T1C 2 out of 12 one 5% other 10%
Treatment option: Brachytherapy in the next 5 or 6 weeks
Volume study 5/3/11 49 cc

Veteran Member

Date Joined Feb 2010
Total Posts : 3994
   Posted 5/10/2011 7:07 PM (GMT -6)   
i suggest you read up on BT, IGRT and surgery and form some specific questions, and post your stats in your signature.  i had seeds, IGRT and lupron and it was rough.  now, 13 months later, i am starting to feel "normal".  my sexual function appears to be unimpaired, my penis is the same length as before and i've never been incontinent.
age: 56
PSA on 12/09: 6.8
gleason 3+4 = 7
received 3rd and last lupron shot 9/14/10
2/8/11 PSA <.1, T= 6 ng/dl

Veteran Member

Date Joined Dec 2010
Total Posts : 3887
   Posted 5/10/2011 7:39 PM (GMT -6)   
I used High Dose Radiation Brachytherapy. It is more tumor conformal and has less side effects  compared to surgery or Low Dose Permanent Seed Brachytherapy.

Learn more about HDR brachytherapy from Jeffrey Demanes, the HDR pioneer, at
PSA 59 on 8-26-2010 age 60. Biopsy 9-8-2010 12/12 positive, 20-80% involved, PNI in 3 cores, G 3+3,3+4,and 4+3=G7, T2b.
Eligard shot and daily Jalyn started on 10-7-2010.
IMRT to prostate and lymph nodes 25 fractions started on 11-8-2010
HDR Brachytherapy 12-6 and 13-2010.
PSA <.1 and T 23 on 2-3-2011.
PSA <.1 on 4-7-2011
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