Brachytherapy prostate forum m?i,gc montre,benign prostatic hyperplasia lancet neurology - New On 2016

22.08.2014
If you have higher-risk prostate cancer, you may receive permanent seed brachytherapy along with another treatment; for example, you may need hormone therapy as well.
In a small number of situations you may be offered a different type of brachytherapy using a temporary source of radiation called (HDR) brachytherapy. Your doctor will discuss with you if brachytherapy is a suitable treatment option for you and whether they recommend it on its own or in combination with some of the other treatments. You may be asked to follow a special diet the day before the seeds are put in (implanted), and have an enema (a fluid solution gently put in in through your back passage) which then causes you to clear your bowels on the morning of the procedure and, or the evening before. Some swelling of your prostate may happen, so a tube (catheter) is put into your bladder to drain any urine while you are having the procedure. Before going home you may be given a prescription for antibiotics, pain killers and alpha blockers (tablets to help relax the bladder and improve the flow strength as you pass urine) to take for a directed length of time afterwards. If you need to go into hospital and have an operation for another reason during the first year after treatment, it is best to speak to your radiotherapy unit about the risk of exposure from the radiation. It is safe for you and your partner to sleep in the same bed (provided your partner is not pregnant) . This can often be due to tiredness or local side-effects like pain or swelling around the area of the prostate. It is common to feel mild soreness and some bruising between your legs for a few days after the seeds have been put in.
This can cause symptoms such as burning when you pass urine, needing to pass urine more often, having a slow stream, finding it harder to start passing urine, and needing to go more quickly than you used to.
This does not happen very often but if it does, you will need to have a tube (catheter) put in for a time. Drinking plenty of fluids and avoiding drinks with alcohol or caffeine, such as tea, coffee and cola, may ease these problems. If you have urinary symptoms before brachytherapy, you are at a higher risk of having problems passing urine after the treatment.
If you would like to read further information, you can visit our section Urinary symptoms, catheters and prostate cancer treatment.
If you would like to receive a print copy of this free factsheet call us on the Cancer Nurseline freephone 1800 200 700 between 9am and 6pm Mon-Thurs and between 9am and 5pm on Friday. Your risk of erectile dysfunction will increase if you have had erection problems before your treatment. For further information please visit our section on sex, erectile dysfunction  and prostate cancer.
You could also visit a Daffodil Centre if one is located in the hospital you are attending. You may experience tiredness from the radiation or from getting up a lot at night to pass urine. Call the Cancer Nurseline on 1800 200 700 for a free copy of the booklet called Coping with Fatigue .You can also download the Coping with Fatigue booklet here or pick one up at the Daffodil Centre if there is one located in your hospital.


If you have a partner, you may find it helpful to see the doctor together so that you can both talk about your concerns.
If you would like more information on brachytherapy, call the Cancer Nurseline on 1800 200 700 for a free copy of the booklet Understanding Radiotherapy or visit a Daffodil Centre if there is one in the hospital you visit. You can also download the booklet Understanding Radiotherapy.
You can also expect to have a PSA blood test done regularly to check that the brachytherapy has worked.
If the brachytherapy has been successful you would expect the PSA level to drop, though how quickly it falls can vary from one man to another. Whitfield Clinic, Waterford:   There is a service level agreement between the HSE  and the South Eastern Radiotherapy Trust and the Whitfield Clinic. Irish Cancer Society Daffodil Centres provide in-person, one-on-one cancer information, support and advice in local hospitals across Ireland. It will depend on the stage and grade of your prostate cancer and the size of your prostate gland. If you have a larger prostate gland, you may be given hormone therapy to shrink it before brachytherapy. You may also have uro-flow studies done to measure the flow strength of the urinary stream as you pass water. You will be taken to an operating theatre to have the seeds put in under a general or spinal anaesthetic. Then around 60 to 120 radioactive seeds are preloaded into needles which are put in through the skin between your prostate and your anus (back passage).
It may be left in for a couple of hours or overnight and you must be able to pass urine normally before you go home. These tablets are called alpha blockers they may help to relax the muscle within the prostate and to reduce the narrowing of the water tube which runs through the centre of the prostate.
If you have hormone therapy and external beam radiotherapy together with your brachytherapy, you are at a higher risk of erectile dysfunction than those men who have brachytherapy alone. You can call the Cancer Nurseline on free phone 1800 200 700 if you would like a copy to be posted or if you wish to speak confidentially with a specialist nurse. This may cause some bleeding or a change in your bowel habits, such as needing to go to the toilet more often. If your sperm count is normal, it may be possible to store your sperm before radiotherapy for later use.
Follow-up will vary between hospitals - your doctor or nurse will be able to tell you how often you will need a PSA blood test done. Find out ways we can provide practical and emotional support to cancer patients, their loved ones and carers. The treatment is usually used on its own, but if there is a higher chance of the cancer spreading, it can be used together with external beam radiotherapy and hormone therapy.
You may not be suitable if you have trouble passing urine, have a very large prostate gland or have recently had a resection of your prostate gland.


After about 12 months, the seeds are no longer active and can stay in your prostate without doing any harm.The radiotherapy unit may give you a medical alert card detailing the treatment you have had.
You may see some blood in your urine afterwards but most bleeding usually goes within 48 hours. The urinary side-effects may mean that you need to go to the toilet very often, day and night. If you have had surgery to your prostate gland before brachytherapy, you will have a higher risk of incontinence. Remember- 2 years after brachytherapy around 2 out of 10 men have erectile dysfunction; 3 years after brachytherapy 5 out of 10 men may have it. It is important that any doctor who treats you for bowel problems after brachytherapy is aware that you have had brachytherapy. This is a time to check the positioning of the seeds with a CT scan and for you to talk about any side-effects that may be bothering you.
Sometimes the PSA level may rise and fall one to two years after treatment and this is called a PSA bounce.
Research shows that brachytherapy is just as good as surgery or external beam radiotherapy at treating certain prostate cancers.
In permanent seed brachytherapy, the radiation comes from small radioactive seeds put into your prostate. It uses ultrasound waves to find out the exact size and shape of your prostate gland so your doctor can work out how many seeds need to be put in.
But as a precaution it is best to avoid close physical contact (less than arm’s length) with small children or pregnant women for the first two months after treatment. The radiotherapy unit will give you instructions if this happens so it is important to let them know. This is to alert other medical professionals in the event of you having a medical emergency.It will direct the staff to contact your radiotherapy unit for specific advice. It is important to carry this with you at all times for the duration of time recommended by the unit. To help prevent blood clots and flush out your bladder, drink plenty of fluids (about 1? to 2 litres a day).
This card is also necessary for airline travel, as some of the security sensors may be triggered by the weak radiation emitted from the seeds.



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