It makes me realize that I made the right decision when it came to treating my prostate cancer. Jerrold Sharkey, Stanley Chovnick, Raymond Behar, Ramon Perez, Juan Otheguy, Zucel Solc, William Huff, Charles Webster, James Steele and Alan Cantor. We have developed a real time ultrasound-guided technique using team approach. We have treated 1000 patients with no mortality, and the only morbidity is short-term irritative symptoms. Incontinence is rare.
Impotence is less common than surgery of external radiation.
Bladder and bowel complications are rare. We have given neoadjuvant Lupron and Eulexin in selected cases to downsize glands that are over 50 cc. and for higher Gleason grade lesions over 7. We feel brachytherapy is a viable option in those patients who are not good candidates for radical proStatectomy or who prefer non-surgical treatment for adenocarcinoma of the prostate. The treatment is cost effective and can be done safely in our outpatient surgery center in well under one hour. In some cases we add a short course of external radiation if the PSA is over 15 to improve our results.