If I had to do it all over again I would choose active surveillance over low dose brachytherapy. The cancer would have been more clearly defined on MRI making a more accurate biopsy possible. The biopsy needles only hit the edge of the tumor and the seeds were then inserted improperly totally missing the tumor allowing it to grow uncontrolled making surgery and radiation necessary 3 years later.

Side affects from brachytherapy included blood in urine, painful and frequent urination but these all went away in about a month. On the positive side I enjoyed full sexual function and maintained an active sex life until cancer returned and I needed surgery, radiation, and hormone therapy.

Good luck with whatever you choose and don’t hesitate to send me a private message if you need any more direct information.