Seed Implant old treatment?

I asked about the seeds, my Dad had the treatment back in the day, and it worked well. My Urologist told me it was mostly about the cost of it. I was told it cost more than surgery or radiation. Not sure that is the right answer, but it was the one I got.

zzotte, it's good that you are planning ahead with research. Seed implantation is declining as a choice of treatment everywhere except Ontario, oddly. It can be an excellent choice if the cancer is new, and non aggressive. Low dose brachytherapy can reduce radiation damage to adjacent tissue and has a 90 to 97% success rate. It can be used with external radiation.
It might not be a stand alone option with metastatic gleason 9.

Brachytherapy is not uncommon when it comes to prostate cancer treatment. I’ve seen a number of people who had that recently. In some cases, they will have treatment using one technique and follow it up with the seed implants.

With so little information it’s really hard to say what would be a good choice for you.

I posted this on another thread however
prostrate cancer runs in my family. My borhter opted for radiation,
I had RARP recently
However, our 96 year old uncle had radioactive seeds probably 40 years ago and it seems to have been the best choice for him. He is living independently with my aunt. This is anecdotal

. In my case prostatectomy was recommended and I believe it was the best choice ( the cancer was growing)
I do not know much about the seeds maybe you have to be at low and early stage

I really think it is good to get multiple opinions. I did.
There seems to be a great debate between surgery and radiation ( and there are different types of each) There are different down sides to each and it can be frustrating to encounter such diverse opinions and predictions.
You can definitely get ED and incontinence from either (and other things). The cancer still must be monitored afterwards
Surgery is no walk in the park; recovery from surgery can be rough. However, from what I have learned about radiation, the side effects can rear their ugly head months and months down the road.
Robotic-Assisted Radical Prostatecomy (RARP) seems a good option. I had this three months ago, I had a very skilled surgeon. However, my brother would likely share how happy he was with radiation.
If you do elect to go with surgery, feel free to send me a message.
Definitely get a lot of opinions and read up on things (try to also keep in mind, some urologists and clinics do a better job of others in terms of putting good information out there.
I like research,, and I suggest you do some
Try this. search prostrate cancer treatment options comparisons you will find some reputable sources ( teaching hospitals, prostrate cancer society) and some commercial sites. If you check out some of the sources you will quickly encounter serious bias.

now try the same search prostrate cancer treatment options comparisons but this time add pubmed at the end Now you will get to the good research. studies that are peer-reviewed and produced and checked out by experts in the field and world.
bottom line, be aware of significant bias, still it seems efficacy does not have a winner yet

Thank you EdinMaryland, just doing some research I’m at Gleason 9, just waiting for the PSMA test my urologist already is suggesting Radiation based on my biopsy but wants to wait for the test results

I really wish you good luck, this whole thing can be pretty daunting.

I am by no means anti-radiation, I would just suggest you get a few opinions. I did not worry about my urologist getting bent out of shape or anything by doing this. I have to think most expect this and some even advocate multiple opinions. it is your body and definitely your choice.

It seems many of the urologists' advocate surgery and many of the oncologists advocate radiation ( as a trend)

I do not know where you live but I live near DC so got several opinions including the chief of urology of a big University/
If you have had a few biopsies it is not hard to send the films to a few others.

background
not exactly sure when PSA started rising (10-15-20 years ago) kept an eye on things maybe two visits a year until it was determined to be cancer ( first biopsy) Then did active surveillance which was a good choice at the time ( genetic markers indicated slow cancer) but things changed and it was time for a decision. In that brief two years it went from mostly on one side to both sides. Removal seemed best

However ( I know I am Monday-morning quarterbacking) , had I known what I know now, I could have elected for a focal ablation or one of the other focal treatments and monitored it further. This was a definite option before the cancer advanced. I am glad I got the surgery, bigger picture the cancer was growing more rapidly and I did not want to chance radiation especially as some of the experts advised to get RARP.

still, I imagine my brother and I have very similar genes. He got radiation and is a happy camper and did not have the side effects I have
as noted my aunt reports that she and my uncle are bumping into each other on their walkers in the same house they have lived in since the 60s. (he had and still has the radioactive seeds

I am glad you are getting care and checking things out on this list
There are a ton of us out here