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Looking for info on HDR Brachytherapy to ask Radiation Oncologist

Prostate Cancer | Last Active: May 28 6:15am | Replies (27)
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@jeffmarc

You need to get a 2nd opinion from a center of excellence RO or from a Genito Urinary Oncologist. Using IMRT was the industry standard when I had salvage radiation 12 years ago. SBRT is even used for that now.

SBRT is a pretty common technique to use, ask your RO if the reason he doesn’t want to use it is because he also wants to radiate the prostate bed, and suspects the cancer has gotten out of the prostate. That’s what it sounds like.

Another doctor may have a different opinion,

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Replies to "You need to get a 2nd opinion from a center of excellence RO or from a..."
robertov | @robertov | May 26 6:50pm

Hi Jeff, Got a 2nd opinion from a CofE. They suggested Proton Beam, 5 fractions (SBRT). The RO for IMRT just thinks that he can ‘cure’ and won’t do SBRT. Don’t know exactly why he is adamant about it. He hasn’t said anything about the prostate bed. Claims their equipment is more modern that the equipment at the CofE Both are smart and seem capable. I’m more concerned about urinary and rectal problems. The latter is probably not likely.
As for ED, I’m 73 with an older wife. At my age I’m invisible to younger women and no threat to younger men 🙂

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