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LDR Brachytherapy After HOLEP

User
Posted 13 Jan 2024 at 23:38

On paper, I seem to satisfy all the requirements for LDR Brachytherapy.  Prior TURP is accepted.  Would HOLEP more than a conventional TURP pose a problem for the procedure? The HOLEP was 12 years ago.

The alternative would be IMRT.  

I am interested in opinions on the best option between the two.

 

User
Posted 14 Jan 2024 at 11:50

I think the issue would be if there's enough volume of the prostate left to get the seeds in to after it's been hollowed out, and that might depend how aggressive the HoLEP was. It's probably regrown sufficiently in 12 years that there is, but that would be a question for the radiation oncologist. HDR might be an option if LDR can't be used, but you might need to transfer somewhere else for that (and indeed the LDR too). If you would need to transfer somewhere else, you need to ask them about the brachytheapy, and if your hospital doesn't do it, they won't have the detailed knowledge to say if you're suitable or not (which probably won't stop them offering an opinion, but it may not be accurate).

 
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