Hi, because at the minute there isn't a lot of data on long term outcomes but for contained (T1 / T2a) prostate cancer the permanent seed brachy (aka low dose brachy) seems to be at least as effective as external beam RT or surgery and with fewer side effects.
It is some years ago now though and I am aware that most hospitals have changed their criteria since then, but at the time permanent seed brachy wasn't considered suitable for young men or those who already had urinary hesitation, G7 or above or PSA over 10. John was only 50 so they said no.
More recently, high dose brachy has become more common for men at higher risk of spread although still contained - usually in conjunction with external RT and hormone treatment. Higher risk includes PSA of over 10, G8 or above, T2b and up.
If you were offered all treatment types, I am assuming you are to have permanent seed brachy with or without hormones but it is worth you clarifying to help other members here respond appropriately.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard
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Thanks LynEyre,
The Oncology Nurse who discussed my diagnosis with me didn’t mention RT with the Brachytherapy but I am meeting my Consultant in a fortnights time so will no more after that, I will update after that but thanks for your input it is really appreciated.
Regards
David