Brachytherapy 2 days ago
---just returned home from a visit to the Cleveland Clinic where I had brachytherapy performed two days ago. I had a biopsy done there 6 weeks ago which found PC graded as T2a with a PSA of 9 and a gleason of 7 (mostly 3-4 with some 4-3.) I was graded as intermediate risk although I was at the very bottom of that grade so fortunately I was a good candidate for brachy.
Flew to Cleveland Sunday, pre-op tests and consult with my Doc and procedure Tues, followed by cat scan and meeting with Doc then flew back home.
As are the other very top facilities, Cleveland Clinic was perfectly managed with every step being totally precise. Unlike other surgeries under general, I had no discomfort in my throat as a new device was used that replaced the large, hard throat pipe I have always gotten in the past.
I got 90 seeds of Iodine and a total of 144 Gy. Seeds were in strands to prevent migration. The cat scan showed a small margin between the prostate tissue and the uretha and I never had a drop of blood in my urine from the first urination 2 hours after the procedure. The cat scan looked like a prescise placement of all 90 seeds. I slept at my hotel which was accross the street from the clinid from 3 until 8 pm and had a celebratory dinner with my wife. There was never any hint of pain in my perineum where the needles
pierced the skin to place the seeds which was a pleasant surprise to me. Urination since the procedure has been like it always has been as far as starting, stopping and force.
I am so grateful to the wonderful doctors at the Cleveland Clinic and felt that I chose the finest facility and top specialists and expect a fine outcome of about a 90% cure rate.
I hope this is comforting to others with my same numbers and staging ---I am extremely grateful to my physicians who treated me amd happy that I am
back home with a great prognosis. I was told to expect that my 9 PSA will drop down to 3 at the time of my next PSA in 6 months and down to zero soon after that. God is good.