We give patients detailed instructions about preparation for theatre. They come into hospital, usually on the day of the implant, after having had “preadmission” examinations and tests performed a few weeks earlier.

Patients are given a general anesthetic, then are placed in the same position as for the volume study.

The Radiation Oncologist, and Urologist work together to place the trans-rectal ultrasound (TRUS) probe in the rectum.  The prostate is visualised, and “lined-up” as it was at the volume study.

We then use the needles, already loaded with the seeds, to precisely insert these tiny seeds into the prostate, as we had planned.  We are guided by the ultrasound image from the TRUS (Figure 1.), and by x-ray images as well.

Figure 1.  Ultrasound image used in theatre to place seeds in the prostate.

The whole implant generally takes 40-60 minutes, and patients are usually back in “recovery” within 90 minutes. Usually we do not place a catheter. Patients will either stay overnight or go home on the day of the procedure, dependent on recovery and distance to travel home.

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