Brachytherapy after a prostectomy

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User

Posted 21 May 2026 at 11:01

Hi. It will be 2 years in August since I had a radical prostectomy. My PSA has crept up to 0.22 and I have an appointment with the oncology team tomorrow. I'm jumping the gun and I probably should have waited until after my appointment until I posted on here. I think they are going to advise me to have one type ? of Brachytherapy. Has anyone here been in a similar position to me. Thanks. Tony.

User

Posted 23 May 2026 at 14:15

You can't have prostate brachytherapy after a prostatectomy - there's no prostate to put the radioactive seeds in.

The most common salvage treatment after prostatectomy is salvage external beam radiotherapy.

User

Posted 23 May 2026 at 17:46

Thanks Andy. The oncologist has suggested 20 sessions of radiotherapy over 4 weeks and if I understood him correctly , no hormone treatment.

User

Posted 25 May 2026 at 20:55

That's a fairly typical treatment. Hormone therapy isn't always used with salvage radiotherapy - I think it depends on your initial diagnosis, and what your PSA has done since the prostatectomy, and on your particular oncologist's views on the matter.

What was your initial/lowest PSA reading after the prostatectomy?

Edited by member 25 May 2026 at 20:56 | Reason: Not specified

User

Posted 25 May 2026 at 21:44

I think it was 0.08.

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