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Why Prostate Seed Implant?

Brachytherapy for prostate cancer is also known as Prostate Seed Implantation (PSI).  Brachytherapy is an innovative cancer treatment that places radiation sources or seeds directly inside the prostate allowing for a highly targeted treatment dose to be delivered while limiting dose to surrounding critical organs. The data clearly shows that in well-selected patients that Prostate Seed Implantation (PSI) is an ideal treatment option that maximizes cure rates while limiting side effects.

Schedule an online telemedicine Consult

During the COVID-19 pandemic, we know many physician offices are closed or limited in appointments. But we also know you may have concerns and would like to know your treatment options. We offer online consultations for prostate cancer treatment options through telemedicine platforms (VSee, Doxy.me, Facetime, or Skype). If you would like to consult with Dr. Hodges or Dr. Taylor about your prostate cancer treatment options, please contact us through this form, and a friendly member of our staff will reach out set up a consultation time.

Comparing Treatment Times for Prostate Patients

Brachytherapy
Out-patient treatment, single visit, rapid return to activity.

Radical Prostatectomy
1-2 day hospital stay, 2-4 week return to activity.

External Radiation (IMRT)
40-45 treatment session over 8-9 weeks.

What are the advantages and disadvantages?

One treatment is not necessarily the best treatment for everyone. Ask your physician about the benefits of seed brachytherapy and if it is an option to treat your cancer.

Advantages

  • Used to treat tumors of the brain, head and neck, gynecologic, prostate, lungs and other solid mass tumors.
  • Places the radiation directly where it will do the most good, and limits dose to surrounding tissues.
  • Minimally invasive, with no surgical incision and thus has shorter recovery times than other invasive treatments. (1)
  • Is one of the most cost effective treatment options available.
  • Has good local control rates for several types of cancers.
  • Customized to deliver the treatment dose your physician determines is the best to treat your cancer.
  • Allows for additional treatment options, including surgery, radiation, cryosurgery, hormonal therapies, and others.
  • When placed at the time of the surgical procedure, does not require repeat visits for treatment, as with typical radiation procedures.

Disadvantages

  • Generally performed under general anesthetic, which may have side effects.
  • May require limited prolonged contact with others immediately after treatment, to limit dose to healthy individuals.
  • Like many prostate cancer treatments, low dose rate brachytherapy (LDR) may have side effects, including urinary and rectal complications and impact on sexual function.
  • Provides a very targeted treatment, if your disease is not in the treatment zone, your cancer may not be treated.
1. Patrick C. Walsh, M.D., Theodore L. DeWeese, M.D., and Mario A. Eisenberger, M.D. Localized Prostate CancerN Engl J Med 2007;357:2696-705.

Texas Prostate Seed Institute

With over 25 years and over 3000 patients of combined experience, Dr. Taylor and Dr. Hodges take pride in offering a unique, highly-effective, precise, targeted treatment for patients who are diagnosed with prostate cancer.  There are many treatment options for prostate cancer. Dr. Taylor and Dr. Hodges believe that prostate seed implantation (PSI), which is also known as LDR brachytherapy, should be at the forefront of any physician-patient discussion about treatment options. During your consultation with Dr. Taylor or Dr. Hodges, they will discuss the details of the procedure, the difference between their unique, innovative, adaptive, and precise technique. They will explain the treatment success rates comparing it to all treatment options.  They believe the treatment option will speak for itself.  And if you are not an ideal candidate for brachytherapy they will explain and guide you to the next best options.

Survivor Stories

With the precision of a highly targeted prostate seed implant, Texas Prostate Seed Institute can help treat your prostate cancer safely and effectively so you can get back to living your life.

SURVIVOR | Lou Lotorto

Lou was diagnosed with prostate cancer in 2007. After investigating all of his options, Lou eventually chose brachytherapy.

“I never had a day when I had a regret I might have chosen the right course. We all have our second thoughts, I had none. It was a smooth operation all the way including my recovery. In essence, I never had any time I was laid up or brought down. I kept my normal, busy schedule. I never felt like my energy was flagging or that I made a wrong choice.”

WHAT THE DATA SHOWS

Simply stated, the data consistently shows that for low, intermediate, and high risk prostate cancer the cure rates for prostate seed implant are comparable or better to any other treatment option.

Prostate Cancer Study Group Results

Cesium 131 seeds compared to the size of a dime - Texas Prostate Seed Institute

Low Risk is the Following

PSA less than 10

Gleason Score is less than 7

Clinical Stage is T1c to T2c

Intermediate Risk is the Following

PSA greater than 10 less than 20

Gleason Score is 7

Clinical Stage is T2b

High Risk is the Following

PSA greater than 20

Gleason Score is 8 to 10

Clinical Stage is T2c to T3c

Minimizing Side Effects

What is SpaceOAR™ Hydrogel?

SpaceOAR Hydrogel is an absorbable hydrogel that temporarily creates space between the prostate and the rectum, reducing the radiation dose delivered to the rectum during prostate radiation therapy.

When treating prostate cancer patients with radiation therapy, the goal is to kill the cancer cells while avoiding damage to surrounding healthy tissue. The prostate is next to the rectum and naturally separated by a small space. Due to the proximity, prostate radiation therapy can unintentionally cause damage to the rectum, which can lead to issues with bowel function. The “OAR” in SpaceOAR stands for “organ at risk,” and with radiation therapy to the prostate, this organ is the rectum.

By acting as a spacer, the hydrogel temporarily moves the rectum a half inch (1.3 cm) away from the prostate.1 By separating the prostate from the rectum, SpaceOAR Hydrogel reduces the radiation dose delivered to the rectum and may eliminate or decrease damage.

SpaceOAR Hydrogel is made up of two liquids that when combined form a soft gel material that is mostly made of water. The material that the SpaceOAR Hydrogel is made from has been used in other implants such as surgical sealants used in the eye, brain, and spine.

SpaceOAR Hydrogel can be implanted as an outpatient procedure in a hospital, surgery center, outpatient clinic or doctor’s office prior to the start of radiation treatment. It is typically not a lengthy procedure.

Cesium 131

The short half life of Cesium-131 produces rapid treatment delivery and patient recovery.

 

The half-life of Cs-131 is 9.7 days.

VS

Palladium 103

The half-life of Pl-103 is 17 days.

VS

Iodine 125

The half-life of I-131 is 60 days.

Cesium 131

The short half life of Cesium-131 produces rapid treatment delivery and patient recovery.

 

The half-life of Cs-131 is 9,7 days.

VS

Palladium 103

The half-life of Pl-103 is 17 days.

VS

Iodine 125

The half-life of I-131 is 8 days.

Precision Prostate Seed Minimally Invasive Cancer Treatment

Trust Us

Precise Adaptive Intraoperative Planning

At Texas Prostate Seed Institute, we use a cutting edge method for adaptive real-time precise placement of the seeds which has been refined and perfected over the last 25 years of experience. Our adaptive method allows for the most effective results with the least potential for side effects.

Prostate Cancer Ribbon - Texas Prostate Seed Institute
Prostate Cancer Free Logo
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For independent treatment information and success rates please check prostatecancerfree.org.