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Experiences of high dose rate brachytherapy

User
Posted 19 April 2017 23:18:10(UTC)
Hello, I was diagnosed 2 weeks ago.
I have stage T2 with Gleason of 3+4, and psa of 10.
Although it seems to be contained it appears to be close to the nerves surrounding the prostate which makes nerve sparing RP unlikely to succeed.
I have been offered high dose brachetherapy, without HT and without the follow up external beam radiotherapy.
This seems to be quite a good option to me, but I would welcome views/experiences from others.
User
Posted 20 April 2017 17:06:08(UTC)

Seems a reasonable course of action although if you were my husband / brother / father I would want to understand a little more of their thinking on you not having HT - it may be belt & braces but I would still ask the question if I could.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard


User
Posted 02 June 2017 19:24:36(UTC)

Hi Peewee,

 

My husband was diagonosed recently, psa 17, T3 Gleason 4+3=7. He went in for prostate removal but unfortunately they couldn't proceed due to scar tissue from previous surgery.  When I spoke to the surgeon, he said he was surprised we had opted for this treatment, as he would of recommend HT the brachytherapy plus conventional RT.  I was quite surprised by this response as we were advised by another surgeon that this was the best option for Dave.  2nd surgeon explain that both treatments were equally as effective  but he preferred plan B.  Dave is in his second week of HT implant and will start brachytherapy in August  He  says he feels like he has a spring in his step (excluding the hot flushes) I personally think the spring in his step is the natural highs in the 2 pints of natural juices Im making him drink a day lol.  A bit of a journey but we will get there. 

Peewee, I am no expert, but I would ask so many questions 

 

Good luck 

User
Posted 23 December 2017 21:59:40(UTC)

You already have at least intermediate risk due to GS 7a.
Low dose rate (LDR) brachytherapy with I-131 seeds is more suitable for low risk patients. For people with intermediate and high risk a curative treatment is only possible with operation or external beam radiotherapy + HDR brachytherapy or definitive RT (IMRT or proton therapy). Only HDR brachytherapy as monotherapy is still in experimental study.


User
Posted 23 December 2017 23:08:02(UTC)
Originally Posted by: Online Community Member

You already have at least intermediate risk due to GS 7a.
Low dose rate (LDR) brachytherapy with I-131 seeds is more suitable for low risk patients. For people with intermediate and high risk a curative treatment is only possible with operation or external beam radiotherapy + HDR brachytherapy or definitive RT (IMRT or proton therapy). Only HDR brachytherapy as monotherapy is still in experimental study.




No Safinamo, you are wrong. Things have moved on since whatever paper or website you are googling / copying from. Plus this post was 8 months ago so a bit late for your 'advice'
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard


 
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