Has anyone had HDR Brachytherapy for locally advanced Prostate cancer

Beachcomber20, I'm now 9 months after HDR Brachytherapy & SBRT (5 sessions) and feeling very nearly at my pre-treatment norm.

No urinary discomfort. Flow is good, same as before. No evidence of a stricture; but I've never had one, so no basis for comparison.

At first, as a precaution I'd wear a urine pad to catch an infrequent dribble or two -- a concern after sitting for a few hours or upon waking during the night. After a few months, I began feeling normal & confident and I stopped wearing a urine pad.

Nowadays, my urinary control feels nearly as good as before, no worries. But occasionally, there's a slightly greater sense of urgency, especially if I'm well-hydrated & sit/recline for a few hours.

No regrets with my choice of HDR/B and SBRT. In my case I think it was the obvious choice.

For anyone trying to decide on which treatment to choose, here's a video I found VERY helpful...

I know lots of people who had NanoKnife , HIFU , Immunotherapy and Cryosurgery .
Mostly with Gleason 6 and both Gleason 7 scores . All were sellections for different reasons but ALL for " One Day Quick Trreatment and Done " No hospital stays . All would make the same decision . The ages ranged from late 50's to mid 70's .
NanoKnife is growing fast worldwide -- no so much so far in the USA . TULSA-PRO is marketinng their procedure very hard , with apparent success .
Our cost in Canada is $23.000 Can. approx. $ 16,000 USD .

And would you recommend her?

I highly recommend her and her team. From what I know of the Mayo radiation team they are all good.

@marshallfeller Hi, my husband is trying to decide between HDR Brachytherapy , SBRT, and surgery. You posted this a long time ago. How are you doing now? Did you have symptoms 1-3 years after treatment? Any recurrence? If you don’t mind sharing I would like to hear. My husband will be treated at Mayo Rochester, and Dr Jessica Wilson is one of the doctors we have met with. Thanks and I hope you are doing well!

@hanayoj
You Need to buy a lot more information before somebody give me a feedback Why on w Wehat would be best to do?

What was his Gleason score? What was his PSA at time of diagnosis?

Were any of these things found in the biopsy intraductal, ductal, large cribriform, Seminal vesicle invasion, EPE or ECE. (Extraprostatic extensions extra capsular extensions). They can make the cancer much more aggressive.

Did he have a PSMA PET scan, did it find any metastasis outside the prostate?

I decided on surgery because my father had radiation and died of prostate cancer. Mine came back 3 1/2 years anfter surgery and I had salvage radiation. It has come back three more times since then, but the right drugs are keeping me undetectable for the last 33 months after 16 years of prostate cancer.

These days they can do surgery that has a very good chance of you still having continents and not having erectile dysfunction. It depends on where you go to be treated.

If you just get radiation, then it is very likely you will have corrective function within a couple years because they can’t spare the nerves.

Some things to think about and some information we really need to help more.

@hanayoj
Jessica Wilson MD is an exceptional doctor. She has a great deal of experience and takes the time so you understand the procedure. It has been over 3 years for me and I have no ongoing difficulties or side effects. Testing PSA 2x a year with no indication of recurrence. I had the choice of HDR Brachytherapy or proton (5 treatments over 2 weeks). I chose HDR to reduce travel.

@marshallfeller Thank you!