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@bonanzaman

Yes, they directly insert a highly radioactive material briefly into the prostate then remove it during a single surgery. He used the words "intense radiation". Might be HDR brachytherapy I saw on the web. After that, traditional radiation is done, so yes there are a few different types of radiation.
I'm working on getting a second opinion with the Mayo Clinic in Florida at the suggestion of one of the people here helping me out. I think it was survivor.
This all sucks what we are going through.
I'll look for information on Scholz.
Thanks

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Replies to "Yes, they directly insert a highly radioactive material briefly into the prostate then remove it during..."

Hey bonanza, I just finished radiation therapy at Sloan in Commack and met a few men who had what you are having - HDR brachytherapy.
First the seeds are placed - something like an hour - and then they are removed. Two weeks later you have 5 sessions of SBRT (intense radiation to the gland only) or 25-39 sessions of IGRT to the prostate bed and pelvic nodes if your PET showed areas outside of the gland.
They all seemed to do reasonably well except for a bit of fatigue. You don’t mention hormones (ADT) but all of those men were on ORGOVYX.
If you live in NYC, transit options are many so no worries there. If you’ll be commuting it still shouldn’t be an issue - although my wife insisted on driving me.
Sloan Kettering is one of the top 5 in the country (#2 according to most recent stats) so you are in excellent hands. I chose them an hour away over NY Blood and Cancer 5 minutes from my house because their treatment protocol was more inclusive.
As far as surgery is concerned, Sloan must feel that this is not a better option for you because of your PET. Best of luck and rest assured that you will be well taken care of!
Phil