Let me give you my indirect knowledge of brachytherapy or radiative seed implants into the prostate. I suggest that you read the section of Dr. Peter Scardino's book on prostate cancer that relates to seed implants. he is one of the top
open or radical prostate surgeons in the U.S. at Sloan-Kettering in New York City. while one might consider him biased because he is an expert surgeon, I took to heart his somewhat negative thoughts on seed implants (notwithstanding that they do many seed implants at Sloan-Kettering)
from what i have read, among the dangers of seed implants is that they can migrate to other areas of the body. moreover, it seems that a lot of seed implant patients have urinary complications, in particular, because the seed implants are close to the urinary tract which passes through the prostate. i talked to one patient recently who had seed implants in the summer of 2006 followed by some x-ray radiation treatments. he told me that he was unable to urinate (complete blockage of the urinary tract) and he had to be treated to relieve the condition which appeared to be related to the seed implants and not the x-ray radiation.
this is not to say that some seed implant patients have not had good experiences. the key is often getting the best expert doctor you can find for a particular PC treatment. were you referring to the Seattle Prostate Institute in Seattle? i believe that they are considered among the top experts in brachytherapy. the former mayor of new york, rudy guiliani, had seed implants a few years ago and he seems to be doing fine based on his current aspirations to run for president! i believe that he was treated by Dr. Richard Stock at Mount Sinai Medical Center in New York City, who has a good reputation for the seed implants. refer to this website which lists some of the top doctors who treat PC by type of treatment (http://www.prostate-cancer.org/resource/special.html). a few doctors at the Seattle Prostate Institute are included in the list.
my suggestion would be to talk to many patients who have had seed implants fairly recently to a few years ago, to see how they have fared. take a look at the www.yana.com (you are not alone) website, where many prostate cancer patients have posted their journey with PC whether it be surgery, seed implants or some form of beam radiation treatment. their stories are very interesting and informative--in most cases they give their e-mail address so that you can contact them. all the best.
68, Biopsy 9/27/06, Stage T1c, PSA 7.1, Gleason 6 [less than 5% in two areas], Gleason 7 (3+4) [less than 20% in third area], negative DRE, bone scan and MRI. Starting proton radiation therapy 2/22/07.
Post Edited (pcdave) : 3/1/2007 9:47:31 PM (GMT-7)