Hi everyone I’m still looking for alternatives to the NHS treatment,does anyone have experience of Brachytherapy or Nano knife IR-ECT ? a clinic in Frankfurt says they invented it and it’s for Gleason 7 and upwards (I am 9)yet the NHS said that wasn’t suitable for me ?
i am already feeling the effects of Relugolix with no ejaculation and getting up 8 times a night for the toilet and feet radiotherapy will damage my quality of life even further
Edited by member 30 Sep 2026 at 08:37 | Reason: Not specified
Suitable candidates can get Bracy or Nano Knife in the UK both privately or on the NHS. Suggest you get referral to UCLH or one of the few other hospitals that does Nano. Rather more hospitals do brachytherapy. All treatments can have certain side effects to varying degrees
There are two types of Brachytherapy, with Radioactive implanted seeds (low dose) The theoretical concept was made by Alexander Bell and others contributed to it, Alexandre Danlos and Paul Bloch were early instigators using radium provided by Marie Pierre Curie, others further developed it.
The second type of Brachytherapy is where radioactive rods are placed in your Prostate for a short time and then removed during the same operation (High Dose). This procedure was attributed to Swedish inventor Rolfe Sievent and was developed for Prostate treatmentin Kiel University Germany in the nineteen eighties. Both of these treatments have at times been given in combination with external beam radiation as well as singly.
Nanoknife was pioneered and first used in Berkley in the USA. So I don't know just what the Frankfurt Clinic are claiming.
Edited by member 30 Sep 2026 at 20:12 | Reason: Not specified
They are claiming it’s for Gleason 7 upwards and you go in for one day and don’t need to take hormone tablets for years
they say they invented it and it has small chance of ED and other side effects are minimal
Hello Steve
I was treated with an ECT at this Frankfurt clinic ... maybe we should continue with this conversation offline?
best Crispin
Thanks for that
i have just bern informed Brachytherapy is not suitable for me
who else does nano knife is the uk ?
leaning towards Frankfurt at the minute but worth knowing if the NHS would cover this
Others https://www.google.com/search?sca_esv=1b9a0e92a4573b1d&sxsrf=APpeQnvnjm9EscT9C-eX1ZKU0s-G2DF3LA:1790986551232&q=uk+centres+who+do+Nanoknife+on+%22NHS%22&sa=X&ved=2ahUKEwic0LvpyJyXAxXrYEEAHeKpHIwQ5t4CegQIOhAB&biw=1280&bih=551&dpr=1.5
Edited by member 03 Oct 2026 at 01:25 | Reason: Not specified
Thanks Barry
What reason was given?
Brachytherapy by itself probsbly isn't any longer regarded as suitable for Gleason 9, but as part of Brachytherapy boost (with around 60-75% of the normal external beam dose, and ADT), it's probably the most effective treatment for contained Gleason 9. (Don't know what your full diagnosis is, as it's not in your bio.)
I doubt anyone will offer focal therapy for Gleason 9. It's rather more for Gleason 6, and some Gleason 7's.
Hi Andy Gleason 9 contained in prostate
clinic in Frankfurt think Nano knife is the best way to go regarding quality of life I have been advised well to get a PSMA PET scan before proceeding so will get that either privately or if possible with the NHS if possible
The fact you have not been fully staged yet (no PSMA scan) makes me think the clinic in Germany is trying to sell you something inappropriate for your case. Buyer beware!
You might be right I am going to try and get that scan before proceeding
thank you
Hi SteveL and Crispin,
I also had treatment in the Frankfurt clinic. Can I join in in your private conversation?
Richard
Hi Richard hope you are ok
How was your experience of Frankfurt
Steve
This is an AI summary on eligibility as given by UK's top Focal advocate. https://www.google.com/search?q=mark+emberton+on+staging+and+Gleason+for+Focal+Treatment&sca_esv=c33e463457e396b0&sxsrf=APpeQnsBBRGg66EzH1V1_6U5WX4psFa-zg%3A1792091982186&source=hp&ei=TifRauj3COKuhbIPvYfAsQs&iflsig=ABILxe8AAAAAatE1XpdhIGtNP3EMMUjHx3Xz8r_3OXCG&aep=22&udm=50&ved=0ahUKEwjo1oDw3ryXAxViV0EAHb0DMLYQteYPCBQ&cs=0&oq=mark+emberton+on+staging+and+Gleason+for+Focal+Treatment&gs_lp=Egdnd3Mtd2l6IjhtYXJrIGVtYmVydG9uIG9uIHN0YWdpbmcgYW5kIEdsZWFzb24gZm9yIEZvY2FsIFRyZWF0bWVudDIFECEYoAEyBRAhGKABSJ7ZA1CaIVjC-AJwAngAkAEAmAGRAaABliWqAQU0Ni4xMbgBAcgBAPgBAZgCO6AC3iaoAgrCAgoQABgDGI8BGOoCwgIKEC4YAxiPARjqAsICCxAuGIAEGLEDGIMBwgILEAAYgAQYsQMYgwHCAg4QABiABBiKBRixAxiDAcICCBAAGIAEGLEDwgIOEC4YgAQYsQMYxwEY0QPCAggQLhiABBixA8ICBRAuGIAEwgIUEC4YgAQYigUYjQYYsQMYxwEY0QPCAhEQLhiABBixAxjJAxjHARjRA8ICCxAAGIAEGIoFGJIDwgIFEAAYgATCAg4QLhiABBiKBRixAxiDAcICCBAAGIAEGLQHwgILEC4YgAQYxwEY0QPCAggQABiABBiiBMICBhAAGBYYHsICBRAhGJ8FwgIHECEYChigAcICBRAAGO8FwgIEECEYFZgDB_EF5kqULEWX7GeSBwU0Ny4xMqAHuJkCsgcFNDUuMTK4B9YmwgcHOS40MC4xMMgHYoAIAQ&sclient=gws-wiz&mstk=AUtExfDL7080smFFfD56MkhnSBn88_9PZ0NtohcDl7-gNpPR6aY6jBJs5ps5lYXTK6egm25ttN8wLvuQD4YEn8vdsZd1bws3gRx9cDn-k9p_o1luJqfrmoB59poAA1AlR2aIZB0mdpPNUhFqMc5KBo5qUpdff1Gk3mMTC6w&csuir=1
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