I think they seed the entire prostate for the same reason that
surgeons remove the entire prostate.  Even though cancer may
only be found in a few spots, there is a danger of microscopic
cancer in the rest of the prostate, and also a danger that whatever
biological process resulted in cancer in the few spots where it
was found is still at work in the rest of the prostate and may result
in cancer there in the future.

Radiation does damage the tissue.  Further operations on that
tissue become more difficult.  For example, surgery on radiated
tissue is much more difficult and dangerous than on healthy
tissue, which is why salvage prostatectomy after radiation is
relatively rare.  So that's another reason to do the entire prostate
at once.  Do it all at once because it's more difficult and dangerous
to do it twice.

Seeds moving around is a possibility.  I was told by a radiation
oncologist that he has often seen one seed leave the prostate
out of a hundred planted.  He said it was undesirable, but not
dangerous.  The seeds do lose potency over time.

Irritated bowel and damage to nearby organs are indeed
possibilities.  In fact, I would say they are near certainties.  The
big question is, How much irritation and damage will there be?
In my case, so far, they have been pretty tolerable.

All in all, from the reading I've done, and from my experience,
I'd have to say that brachytherapy is one of the easier treatments
for PCa.  I had two HDR brachytherapies.  In both cases, the
procedures were performed on a Thursday and I was back at
work the following Monday.  The worst side effect I experienced
was urinary urgency and blockage.  It required treatment with
Flowmax for about 4 months after the second brachytherapy.

That's the treatment I want!

   Alan

I meant to type "an extra hour every night"

I didn't mean others here can tell you how long I was fatigued.  I meant
others here can tell you how long the Brachy fatigue lasts.

good point, I told you i was fatigued.

jerry

humor:

 99% of lawyers give the rest a bad name.

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btw I have another problem, I have not seen on this group yet.

I am waking up every morning with an erection.  Something that hasn't
happened to me in at least 20 yrs or so.

Sometimes, when I get up in the night to go urinate, I have one too.

j.