At Home Christian Jessen 2014 - 219

PROMOTION

PROSTATE
CANCER
GUIDE

MEET THE
EXPERT

Mr Richard Lodge,
ChM FRCS (Urol) is a
consultant urological
surgeon at Spire
Wellesley Hospital in Southend

Treatment helps
families through
the process, too

87-95%, prostate brachytherapy certainly meets
many of the criteria attributable to a 'magic bullet'.

A cross-section
of a seed
implant

HOW DOES THIS ACHIEVE
REMARKABLE RESULTS?

Prostate brachytherapy comes in two forms,
low dose rate (LDR or 'seed') and high dose
rate (HDR). Both aim to target very precisely
the prostate and to shape or 'conform' the
radioactive field to each individual prostate and
tumour extent, thus minimising the effects on
adjacent 'normal' tissues. It is this precision and
lack of spread of the radioactivity that allows
the delivery of high doses of radioactivity giving

'WITH TOTAL CURE RATES RANGING FROM
87-95%, PROSTATE BRACHYTHERAPY MEETS
CRITERIA ATTRIBUTED TO A MAGIC BULLET'
rise, ultimately, to the superb cure rates. Seed,
or LDR, prostate brachytherapy is suitable for
patients with low to intermediate risk prostate
cancer, localised within the gland. It is usually
administered as a single implant with no
requirement for other forms of therapy, such as
hormones or external beam radiotherapy, in
most patients. This is termed 'monotherapy'. HDR
brachytherapy, by contrast, is utilised for higher
risk patients or those with an extension of tumour
just outside the prostate and is typically used in
combination with hormones and a course of
external beam radiotherapy. It is the precision of
placement of the seeds and the 'contouring' that
provides such favourable results.

THE STAGES OF A
SEED IMPLANTATION

There are several robust and accredited
techniques for seed implantation. Some involve
a two-stage technique with a planning study
performed initially, followed by the implantation
some two weeks later. More and more,
however, there is a move to a 'one-stage'
implant, where the mapping of the prostate,

planning where the seeds go within the gland
and subsequent implantation takes place
contemporaneously at a single sitting. This
means that there is only the requirement for a
single anaesthetic, dosage parameters are
available and adjustable throughout the
implant and the whole procedure can then
be performed as a day case.
The seeds are introduced into their designated
position within the prostate through fine needles
that enter through the skin below the scrotum,
Used prostate
brachytherapy
needles show
the complexity
of hope

Mr Lodge has sub-speciality interests in
prostate cancer and prostate brachytherapy,
keyhole surgery for kidney and adrenal
cancers and laser prostatic surgery
(HoLEP). He is the co-founder and lead
clinician for the Essex regional prostate
brachytherapy service at Southend
Hospital, which has become a major
UK centre for provision of prostate
brachytherapy for both high and low risk
prostate cancer patients, providing both
LDR and HDR brachytherapy.

meaning that no incisions are required. It is
this that has led to the term 'pinhole' surgery
being applied to the process. As treatment is
completed in one sitting, there is minimal
impact on the patient's time and commitments.
New variations of the equipment used and
refinements in the technique employed are all
designed to enhance the already precise nature
of the implantation process. The aim is to
ensure the delivery of high quality implants and
the benefits that this provides in terms of better
cure rates and diminished side effects.
BXT-Accelyon is a leading supporter of these
new techniques, currently leading the way in
both technology and equipment innovation
- and evolution of the technique itself.

AN INNOVATIVE CHOICE

Prostate brachytherapy is a highly developed
and individualised option for the treatment of
localised prostate cancer. Its precise nature
provides many benefits, from high cure rates
to low side effects. As a 'one off' implant the
treatment time is minimal, enabling patients to
plan the timing of their procedure and fit it into
their busy lives with little disruption.
The favourable side effect profile maintains
quality of life and leaves the patients and their
families free to concentrate on making the most
of their lives. It allows them to be secure in the
knowledge that they are part of a new era of
care that places the patients and their needs at
the centre of all decisions and treatment options.

FOR MORE INFORMATION
Visit www.btx-accelyon.com
email prostatebrachytherapy@gmail.com
Southend University Hospital, call 01702
385059 Spire Wellesley Hospital, call
01245 400993.


http://www.btx-accelyon.com

Table of Contents for the Digital Edition of At Home Christian Jessen 2014

At Home Christian Jessen 2014 - 1
At Home Christian Jessen 2014 - 2
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