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Radioactive seed implantation, or brachytherapy, is generally
an outpatient surgical procedure. During implantation, approximately
120 radioactive seeds, each about the size of a rice grain, will be
inserted into the prostate, using thin, hollow needles. Placing the
seeds directly into the prostate allows radiation to be delivered
directly to the tumor site, while sparing surrounding healthy tissue.
There is no incision, and patients are usually sent home the same day.
The seeds gradually lose their radioactivity over time.
The entire process takes about two hours. This procedure is usually
performed with the patient under general anesthesia. Because seed
implantation is not painful, it does not require many of the anesthetic
drugs that can cause problems or side effects postoperatively. Most
people feel well enough immediately after the procedure to go about their
normal daily activities.
On the day of your implantation, you will first go to the hospital’s Short-Term
Surgery unit, where you will check in and meet with a nurse who will prepare
you for surgery.
You will then be taken to an operating room, where the procedure is performed.
Once implantation is complete, you will be taken to the Short-Term Surgery
recovery room, where you will rest and be monitored for approximately 1-1/2
hours. You can go home the same day.
Your radiation oncologist will review with you the possible side effects and
complications of the procedure at your initial consultation.
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