Brachytherapy for Prostate Cancer

What Is Brachytherapy?

Brachytherapy for prostate cancer is a minimally invasive radiation therapy that involves implanting tiny radioactive seeds directly into the prostate gland. In low-dose-rate (LDR) brachytherapy, the seeds contain Palladium-103, which emits a continuous low dose of radiation over several weeks to target cancer cells while protecting surrounding healthy tissue. When performed with real-time adaptive planning, the procedure delivers millimeter-level precision and allows dose escalation to areas of concern. The seeds remain in the prostate permanently but eventually stop emitting radiation. For men with localized prostate cancer, LDR brachytherapy is a well-established treatment option backed by long-term clinical data, with most patients returning to normal activities within days.

Schedule Appointment

Gloved hand demonstrating male anatomy in a detailed cross-section medical model.

Male doctor attentively listening to patient during consultation in a modern medical office.

Consultation and Evaluation

Your care team will review your PSA levels, Gleason score, biopsy results, and overall health to confirm that low-dose brachytherapy is the right treatment for your diagnosis. Imaging may be performed to map the size and shape of your prostate ahead of the procedure.

Medical professional wearing blue gloves operating an ultrasound machine with control panel and probes.

Treatment Planning

Using ultrasound imaging, your physician creates a precise treatment plan that determines exactly how many radioactive seeds are needed and where they will be placed inside the prostate.

Seed Implantation

Using ultrasound guidance, your physician inserts thin needles through the perineum and places tiny radioactive seeds directly into the prostate. The seeds are permanently implanted and remain in the prostate after the procedure is complete.

Doctor smiling and comforting elderly male patient in hospital setting with medical staff in background

Recovery

Most patients go home the same day and return to normal activities within a few days. Some temporary urinary symptoms, such as increased frequency or mild discomfort, are common and typically resolve on their own over time.

Doctor explaining ultrasound procedure to mature male patient in medical examination room

Ongoing Radiation and Follow-Up

The prostate seed implants continuously emit low levels of radiation over several months, gradually destroying cancer cells. Your care team will schedule follow-up appointments to monitor your PSA levels and track your response to treatment.

What To Expect

The EMSELLA Chair treatments lasts around 30 minutes. You will enter the treatment room and sit on the chair, fully clothed. Once the device is activated, the HIFEM energy will cause the muscles in the perianal area (between the legs) to contract involuntarily.

You will experience a vibrating sensation with no associated pain or discomfort. There is no recovery time. Once your treatment is complete, you can go about your everyday activities. The procedure is non-invasive, pain free, and you remain fully clothed throughout.

Schedule Appointment

Incontinence Treatment

Both stress incontinence and urge incontinence can be addressed by strengthening the pelvic floor muscles, which can help improve bladder control.

Erectile Dysfunction

The pelvic floor muscles are crucial to maintaining erections and blood flow to the penis. The EMSELLA Chair works to strengthen the entire pelvic floor, providing men with enhanced neuromuscular control and an increased ability to obtain and maintain erections.

Post Prostatectomy

A Prostatectomy often results in incontinence as one of the valves that regulate urine flow is removed along with the prostate. Many men experience leakage during heavy workouts or near the end of the day following this surgical procedure. This treatment restores bladder control and regains their self-confidence.

Urinary Side Effects

Sexual Side Effects

Gastrointestinal Side Effects

How Does It Work?

These stronger pelvic floor muscles restore continence, provides the ability to obtain and maintain an erection, and gives you the confidence to enjoy normal daily activities without fear of losing bladder control.

Before: Pelvic floor muscles insufficiently support pelvic organs and affect bladder control.
Treatment: The treatment effectively stimulates pelvic floor muscles with thousands of supramaximal contractions per session. Equivilent to 11,200 Kegels.
After: Stimulations leads to regained control over pelvic floor muscles and bladder which can lead to increased satisfaction.

Schedule Appointment Online

Schedule Appointment

6 Reasons To Come To Advanced

Same Day Appointments

Need to be seen today? Advanced Urology offers same day appointments and even urgent same day surgery.

World Class Facilities

We have ultramodern facilities to provide all your care.. This includes offices, lab studies, advanced testing, and state of the art surgery centers. We want you to have a pleasant and pain free experience.

Advanced Techniques

Advanced Urology offers the latest with Advanced Implant therapy. This precision allows for targeted millimeter accuracy, minimizing side effects.

Best In Class Outcomes

Our data warehouse includes 100 million data points that continuously track quality measures and ensure the absolute best outcome. Our personable men’s health doctors will tailor an individual treatment plan based on your unique needs. Results matter.

Leading Edge Technology

We utilize the best latest high end technology to ensure great outcomes. This includes Endoluxe Vision, daVinci X robotics, and Exactvu microultrasound.

Expert Doctors

Our men’s health specialists are board certified with Advanced training in men’s health. This super-specialization leads to more experience, greater expertise, and a better outcome. Drs. Dave, Shah, and Farber are world renown for their skill, knowledge, and compassion.

Brachytherapy for Prostate Cancer

What Is Brachytherapy?