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Thread: Seed implant symtoms vs external radiation ?

  1. #1
    Newbie New User
    Join Date
    May 2012

    Seed implant symtoms vs external radiation ?

    DOC says implant symptoms worse, having to urinate more often, epecially; are the worse symptoms permanent or temporary; i'm trying to avoid going in 5 days/wk for 9 wks; thanks

  2. #2
    Top User
    Join Date
    Jun 2010
    Like anything else, it depends on the skill level of the doctor doing the work...Either procedure can be performed resulting in few side-effects or they can be botched resulting in horrific side effects...

    A popular and effective treatment involves doing both, seeds and beam radiation done back to back..But it takes a team of experts to it with minimum side-effects..

    Will this be your primary treatment or is this a salvage attempt?

    Depending on your situation, you may have to travel to get really top notch treatment...
    PSA at age 55: 3.5, DRE negative.
    65: 8.5, DRE " normal", biopsy, 12 core, negative...
    66 9.0 DRE "normal", BPH, (Proscar)
    67 4.5 DRE "normal" second biopsy, negative.
    67.5 5.6, DRE "normal" U-doc worried..
    age 68, 7.0, third biopsy (June 2010) positive for cancer in 4 cores, 2 cores Gleason 6, one core Gleason 7. one core Gleason 9. RALP on Sept. 3, 2010, Positive margin, post-op PSA. 0.9, SRT , HT. Feb.2011 PSA <0.1 Oct 2011 <0.1 Feb 2012 <0.01 Sept 2012 0.8 June 2013 1.1, Casodex added, PSA 0.04 10/2013. PSA 0.32 1/14. On 6/14 PSA 0.4, "T"-5. 10/14 PSA 0.6, T-11. 1/2015 PSA 0.106. 4/15. 0.4, 9/15 1.4, 3/16 Zytiga, 0.04, 5/17 1.4 may switch to Xtandi

  3. #3
    The long term side effects are slightly lower for seeds because the damage to normal tissue is limited. The short term SEs are worse for seeds, urinary frequency and urgency for about 4-6 weeks that are tolorable. I believe that fatigue from external is worse.
    psa at diagnosis 40 in nov-08
    gleason 6 and 7
    Treatment choice seeds and IMRT

  4. #4
    Newbie New User
    Join Date
    Feb 2012

    Seed implant symtoms vs external radiation ?

    Had seeds implanted 2 months ago and side effects have been minimal. I noticed a slight increase in urinary frequency, but nothing that I would call a problem. The most noticebale side effect that I experienced was fatigue in the afternoons, which peaked 2 - 3 weeks after the procedure but was gone by 6 weeks.


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