Even with the delicate nature of implanting seeds into prostate, the procedure itself doesn’t take very long – usually about 45 minutes. Most patients go home within hours and are able to resume daily activities. While this is the typical outcome, every patient is unique and it is imperative to consult with your ProstRcision physician on your treatment.
Performed by a urologist and a radiation oncologist, the seed implant is an outpatient procedure that lasts approximately 45 minutes. Patients are given general anesthesia. To get the seeds in place, long hollow needles are inserted through the perineum (the area between the testicles and the rectum) and into the prostate.
Next, a seed implant device is attached to a needle and seeds are injected into the prostate. The process is repeated until all of the seeds have been injected. The number of seeds needed depends on the size and shape of the prostate, as well as the severity of the cancer.
The average number is 74 seeds, but we have implanted as few as 45 and as many as 230.
After all the seeds have been injected, the urologist performs a cystoscopic exam, which is the insertion of a tube through the urethra and into the prostate and bladder to check on these organs. Once the urologist sees that everything is okay, the patient is sent to the recovery room where he is awakened.
Since cancer cell leakage cannot be detected prior to completing any treatment, we use follow-up linear accelerator irradiation to make sure we target the entire area. This follow-up treatment begins 21 days after the seed implant and is delivered slowly over a six to seven week period. Treatment is similar to getting a pelvic X-ray each day and lasts approximately 10 minutes. Patients can resume normal daily activities immediately after each treatment.
When compared to other treatments available today, ProstRcision patients experience minor, if any, side effects. One of the great advantages of ProstRcision is that important muscles and sex nerves are not cut, so men stand an excellent chance of maintaining bladder control and sexual function. Additionally, since ProstRcision is a relatively fast, outpatient procedure, patients enjoy high quality of life, and can go back to work or play golf, either on the day of treatment, or the day after.
While ProstRcision increases a man’s chance of maintaining sexual function compared to other procedures, it also depends on his age, and his history of erectile dysfunction (ED) prior to ProstRcision. In men 50 years of age or younger, with no ED or mild ED, 95% maintain sexual function. For men 75 years of age or older, with no ED or mild ED, only 45% maintain their sexual function. We find that Viagra®, Levitra® or Cialis® usually helps with ED. A man’s chance of keeping his normal sexual function can be calculated using our computerized database.