Following the earlier post on 27th March 2021, and with grateful thanks to Dave and Chigwell, an update on what happened. (One short omission of mine from the earlier post - I wasn't actually offered brachytherapy by the urologist. I had read online - maybe here - that it was an option if the PC hadn't spread outside the prostate. I chose it over other options and was immediately referred).
I had the procedure on 13th April 2021, 7 weeks ago at the time of writing, had a general anaesthetic, others may have a spinal aesthetic, I knew and felt nothing, came round and wheeled for one night in hospital, the most uncomfortable being the catheter overnight and being guided to drink much water. Discharged the next day with prescribed medication and zero pain from the procedure. Blood in the waterworks for a week or two as advised, but developed troubles for two to three weeks with waterworks every ten minutes day and night, homebound by necessity, and clearly not emptying, sleep much interrupted. Called the hospital to check - they asked if I'd taken the prescribed strong anti-inflammatory medication in addition to the mandated medication...I hadn't as I thought it was only for pain; not so (never ass-u-me), as it helps to reduce the swollen prostate, which inhibits waterworks. Started it, much better straight away, just stopping it now as much better. Had a CT scan after 6 weeks to check the seeds in place and a psa count, and now feel almost normal, except that erectile function is much reduced and with blood in the ejaculate still. But it was a fair trade off, and there are weeks to go yet, although I don't expect a full recovery. The NHS brachy department staff were just brilliant.
So, in short, advise every man we know just to get checked, but be aware that psa count and physical examination are NOT reliable for diagnosis - and I signed up to the Bob Willis ( cricketer) foundation that draws attention to this. If you can get an multiparametric MRI scan anywhere, NHS or privately, this is the only way I was diagnosed early enough. I have already persuaded a friend aged 72 to do this to put his mind at rest. So let's all spread the word. This takes 11000 men a year, many have it now and have no idea they have an aggressive form it (even though it is common in older men along with an enlarged prostate).
Keep sharing and caring!