Disable popup blocker before clicking

page1 page2 page3 page4 page 5 page 6 page 7

Palladium has a lower complication rate than Iodine and the same cure rate
Cha IJROBP V 45 No. 2 pp.391-395. 1999

No obvious PSA relapse free survival advantage
Shorter half life of Palladium causes faster return to baseline urinary function (IPSS)

Long Term Complications are much lower with Palladium compared to Iodine
Peschel et al. Rad Onc Inves 7:278-288 (1999)

Radical prostatectomy sexual impotency rates and the need for surgery to repair strictures and to place penile prosthesis and artificial urine sphincters has not improved. Surgically induced incontinency has decreased recently , due to improvements in surgical technique.
Temporal trends in radical prostatectomy complications from 1991 to 1998.
Hu JC, Gold KF, Pashos CL, Mehta SS, Litwin MS.
J Urol. 2003 Apr;169(4):1443-8.

No change in impotence rate, anastomotic stricture rate, placement of penile prosthesis or artificial sphincter
3 year incontinence rate decreased from 20% to 4% (1991-1995)
Length of stay decreased from 8.1 to 5.1 days (1991-1998)
In hospital complication rate (cardiac, respiratory, vascular, wound and genitourinary complications decreased from 38% to 30% (1991- 1998)

Comparison of Complications Summary

Urinary incontinence is lower with seeds than with surgery or external beam radiation of any sort
Sexual impotency is lower with seeds than with surgery or radiation of any sort
Palladium complications are lower than Iodine complications with the same cure rate as Iodine

AUA Acknowledges Seed Option
Middleton J, Thompson I, Austenfeld M, et. al. Prostate Cancer Clinical Guidelines Panel Summary Report On the Management Of Clinically Localized Prostate Cancer. J Urol 1995;154:2144-2148.

In 1995, the American Urological Association recommended that patients with clinically localized prostate cancer be informed of the option of radioisotope seed implants.

Brachytherapy will account for more than half of prostate cancer treatments by 2004

AUA Health Policy Brief, September 1999 (Medicare's Part B Exact and Summary System, Projections)

Summary Permanent Seed Brachytherapy

PSA results equivalent to surgery, better than external beam
Urinary continency rate higher than surgery or external beam
Sexual potency rate higher than surgery or external beam
Shorter recovery time than surgery
Outpatient procedure
Less patient discomfort
Cost competitive
Surgery candidates are all seed candidates

Disable popup blocker before clicking

page1 page2 page3 page4 page 5 page 6 page 7