I’ll weigh in here because I had HDR brachytherapy in 2012. I’ve had stage four and now stage five prostate cancer since 2010. The course for me was doable because my body was strong and responded in a positive way to the treatments My Gleason were all over 10 and I had 14 of them. I immediately went on Lupron and tamsulosin and biclutamide. I had the HDR brachytherapy five months later once the cancer was a bit stabilized For me, I had 44 tubes inserted which was a huge number and I had Every problem to this procedure I had the Third worst recovery of anyone in the hospital records. But I did recover. I still have no sexual activity and still have to get up six times a night. But I am also 14 years into this cancer journey. I am currently undergoing nuclear isotope infusions to stabilize it for another year or two or three
I chose brachy therapy because it had the highest percentage of cure back when I underwent the surgery compared to having a Prosectomy
Plus, it would save my sexual function which it did not.
The only issue I would caution you about is not letting the urologist or other doctor back away from keeping a steady eye every two months or maybe three months on your PSA and your condition.
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