Prostate Seed Implants: A Promising rehabilitation For Prostate Cancer

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Prostate brachytherapy (pronounced bray-kee-ther-uh-pee), the implantation of radioactive seeds into the prostate gland, is one of the standard methods of successfully treating prostate cancer. The tiny radioactive seeds are smaller than grains of rice.

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A prostate seed implant may be the only type of radiation therapy needed by a man with low-risk prostate cancer or it may be prescribed in increasing to external beam radiation therapy in men with intermediate- and high- risk prostate cancer. The goal is to eradicate cancer cells while preserving healthy, surrounding tissue, such as the bladder, the urethra (the tube that connects the bladder to the penis), and the rectum.

The advantages of prostate seed implants are significant. Fist, the course requires only minor surgery, regularly causing fewer side effects than other treatments. Also, it is ordinarily a same day, outpatient procedure. Men regularly are able to return to work within several days, as long as they feel well enough. In addition, new reports propose that the procedure, when performed on properly selected men, is at least as effective as surgical operation to cure prostate cancer. Radiation exposure to other population is minimal, so restrictions do not apply unless the man is returning to a setting where a young child or pregnant woman is present.

Treatment Planning

Men undergo a pre-implant ultrasound study to decide where the radioactive seeds (and the needles to implant them) should be placed. A transrectal ultrasound, wherein an ultrasound probe is thought about positioned in the rectum to view the entire prostate, is performed. Images of the prostate are taken and are transferred to a extra treatment planning computer, which evaluates the position of the prostate and generates a three-dimensional plan that dictates the definite placement of the seeds.

Preparation for the Procedure

Most candidates for prostate brachytherapy undergo blood tests, a chest x-ray and an Ekg several days prior to the implant, in order to be stylish for anesthesia. On the morning of the procedure, men receive an enema to help optimize the ability of the transrectal ultrasound images. In addition, blood thinners are discontinued several days prior to the course to help diminish the risk of bleeding.

Day of the Procedure

Typically, men who are scheduled to undergo seed placement arrive early in the morning. Next, the man is taken to the operating room for the procedure, where he undergoes whether normal or spinal anesthesia. Then, the radiation oncologist and the urologist work as a team to implant the seeds into the prostate, using transrectal ultrasound to guide the placement.

The Implant Process

Using the treatment plan and fluoroscopy (real-time x-ray), the radiation oncologist places the seeds within the prostate. The entire course regularly takes less than one hour. After the seed placement, the urologist performs a cystoscopy (a course in which a slender, flexible, fiber optic scope is inserted from the penis into the bladder), to look for and remove any seeds that dislodged in the bladder or the urethra. Within the few next days, a Ct scan is obtained to verify the placement of the seeds.

Prostate Seed Implants: Recovery

Because prostate implants do not involve major surgery, side effects are rarely severe. The most base side effects reported by men after prostate seed implants are:

o Urinary frequency (60-70%)

o Urinary burning (50%)

o Urinary emergency (50%)

o Erectile dysfunction (30%)

o Blood in the urine (20-30%)

o Increased bowel movements and bowel emergency (5%)

o Fatigue (20%)

o Pelvic pain (20%)

o The need for temporary catheter placement (10-15%)

o Urinary incontinence (less than 1%)

In addition, up to 20 percent of men are found to have seed migration into their lungs. However, no detrimental effects have been reported. Infrequently, men have required trans-urethral resection, the "scraping" of the prostate gland via the penis, to ease urinary obstruction after the seed placement.

Follow-Up

Men who undergo prostate brachytherapy article for follow-up visits four weeks after the course and every three months thereafter. A Psa blood test and a physical exam are performed to compare the status of the prostate.

The good news is that prostate seed implants are regularly victorious at controlling prostate cancer within the gland. Such local operate of disease correlates with rendering men free from prostate cancer.

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