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Undergone Radioactive Seed Implant For Prostate Cancer. Prescribed With Cryotherapy And Hormone Treatment. Need Suggestion

Posted on Wed, 30 Oct 2013

Question: I am 75 years old and had seed implants 16 years ago . my psa result was 8 and in august and biopsy shows a XXXXXXX score o7 . my urologist prescrbe cryotherapy and hormone treatment . is this the best way to go ?

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
It is safe non invasive mode of treatment.

Detailed Answer:
Hello
Thanks for your query.Based on the facts that you have posted it appears that you have undergone Brachytherapy (Radioactive Seed Implant) for cancer of prostate 16 years back .

Now your serum PSA levels are 8 ng ,It looks that your cancer of the prostate is still organ confined and has not spread to surrounding structures beyond capsule of the prostate.

Now there are two treatment options
1) To undergo surgery of Laproscopic or Robotic Radical Prostatectomy which offers permanent solution .or
2) Cryotherapy with Hormonal treatment which is comparatively less invasive and equally effective.However there are side effects like Erectile dysfunction .

Please discuss feasibility of both the options with your Urologist before you take decision regarding further mode of treatment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (19 hours later)

can the cryotherapy be done without the hormonal treatment and be effective and cut back on side effects caused by hormonal treatment ?

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
Only cryosurgery will not help.

Detailed Answer:
Hello
Thanks for follow up.

As the cancer of the prostate is Testosterone dependant, the primary aim in management of Cancer of the prostate is to suppress the production of Testosterone by hormonal treatment.

So only cryotherapy will not achieve the desired effect to arrest the growth of cancer of the prostate.

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Dr. P. T. Patil (16 hours later)

laproscopic or robotic radical prostatectomy is an option although seed implant was done 16 yearg ago?

Answered by Dr. Dr. P. T. Patil (6 hours later)

Brief Answer:
It is amajor surgery.

Detailed Answer:
Hello
Thanks for follow up.
Laproscopic radical protatectomy was developed in last decade and Robotic radical protatectomy is developed in last five years.If your prostate is of moderate size surgeon may opt for surgery .
Thanks and Regards.
Dr.Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar