Is brachytherapy a safe way to treat prostate cancer?

Escrito por: Mr Ammar Alanbuki
Publicado: | Actualizado: 21/08/2019
Editado por: Cal Murphy

Prostate brachytherapy is a form of radiation therapy used to treat prostate cancer. It involves placing devices containing radiation in the prostate gland close to the cancer cells. Mr Ammar Alanbuki explains.

Group of old men at a table in a park

Types of brachytherapy

Prostate brachytherapy procedures vary based on the type of radiation you'll receive. Temporary prostate brachytherapy involves placing radioactive wires in the prostate gland for several minutes before the wires are removed. Permanent prostate brachytherapy involves placing radioactive seeds in the prostate gland permanently, where they slowly release radiation.

 

What are the side effects of brachytherapy?

Variable complication rates have been reported. These can include:

  • Irritative/obstructive urinary symptoms
  • Rectal symptoms
  • Storage and retention symptoms (incontinence rates were reported to be 1% with up to 3 years follow-up)
  • Sexual dysfunction (impotency rates were as high as 15%)

 

How much does it cost?

Cost is variable according to the provider, location and other diagnostic procedures needed, but should not be less than £10,000.

 

Is brachytherapy better than surgery?

Brachytherapy has comparable results to (though not better than) surgery with regards to localised prostate cancer, and is mainly advised for low-risk cases. Patient preference is part of the choice process, and it is important to remember that some other procedures like transurethral resection of prostate cancer or prostate biopsy under general anaesthesia are required beforehand.

 

Will I feel tired and have bowel problems after it?

General tiredness is expected. It depends of the type of brachytherapy and length of the procedure, but it is usually short lived. The main bowel problems are rectal bleeding and proctitis (inflammation of the anus), which occur in 5.6% of cases.

Brachytherapy is a procedure done under general anaesthesia. You can expect some pain and swelling in the perineum where the radiation needles were inserted.

Some relief can be achieved by placing an ice pack over the area or taking simple analgesia.

You can resume normal activities when you feel up to it. Avoid strenuous activity, such as running, or activities that may irritate the perineum, such as riding a bike, until the area where the radiation was inserted is no longer tender.

 

To book an appointment, visit Mr Alanbuki’s Top Doctors profile.

Por Mr Ammar Alanbuki
Urología

El Sr. Ammar Alanbuki es un estimado urólogo consultor con clínicas privadas en el Nuffield Health Brighton Hospital , Nuffield Health Haywards Heath y Spire Montefiore Hospital . Se especializa en cáncer de próstata , agrandamiento de la próstata , cáncer de vejiga y riñón , cirugía laparoscópica , cálculos renales , patologías del escroto del pene y urología femenina .

Se graduó en 1998 de la Universidad Al-Mustansirya en Irak y completó su entrenamiento quirúrgico básico en el noreste de Inglaterra. Luego trabajó como investigador en los hospitales de Barts y London University, trabajando en el ensayo REDUCE (Reducción por Dutasteride del cáncer de próstata). Se unió al decanato oriental para el programa de entrenamiento quirúrgico superior en urología y recibió capacitación en diagnóstico y urología general terapéutica. Pasó dos años obteniendo capacitación subespecializada en endourología, cirugía renal laparoscópica y enfermedad de cálculos en los hospitales de Norfolk y Norwich University y completó exitosamente un proyecto de investigación en el manejo de tumores testiculares como parte de una maestría de la Universidad de Teesside.

El Sr. Alanbuki ha trabajado como consultor cirujano urológico en Brighton and Sussex NHS Trust desde 2016. Su experiencia, habilidades transferibles e investigación constante le permiten brindar atención de alta calidad al paciente. Tiene varias publicaciones y ha participado activamente en reuniones nacionales e internacionales. Sus membresías incluyen la Asociación Americana de Urología y la Asociación Europea de Urología.

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