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Medical Forum / Diseases and Disorders / Prostate Cancer / September 2007

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Does radioactive seed implant (Brachytherapy) require a catheter?

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Sy - 21 Sep 2007 02:11 GMT
If I am unable to obtain Insurance autghorization for the CyberKnife
procedure, I will undergo radioactive seed implants as an out-patient.

Does anyone know whether this requires a catheter post-op?

Also, does anyone have a "ballpark" idea of what the costs are for this
particular type of treatment?

Thanks,

Sy
Wit - 21 Sep 2007 03:00 GMT
> If I am unable to obtain Insurance autghorization for the CyberKnife
> procedure, I will undergo radioactive seed implants as an out-patient.
>
> Does anyone know whether this requires a catheter post-op?

Catheter was in place during procedure but removed after procedure. In
my case, no catheter post-op. Others may have had a post-op catheter.

> Also, does anyone have a "ballpark" idea of what the costs are for this
> particular type of treatment?

Mine was covered under Medicare as follows:

         Amount        Medicare         Medicare       Bill To
         Charged       Approved         Paid           Patient

         19032         10199            8153           2046

About 16% of the billing was from the urologist and the rest from the
brachy guy.

> Thanks,
>
> Sy
Beverley - 21 Sep 2007 05:26 GMT
Yep! About $25,000

No cath after the procedure. It was removed. Proved he could pee on his own
and he was out of the hospital!
Bev

> If I am unable to obtain Insurance autghorization for the CyberKnife
> procedure, I will undergo radioactive seed implants as an out-patient.
[quoted text clipped - 7 lines]
>
> Sy
Alan Meyer - 21 Sep 2007 06:10 GMT
> Yep! About $25,000
>
> No cath after the procedure. It was removed. Proved he could pee on his own
> and he was out of the hospital!

Same for me.  After my second HDR brachytherapy I had a
great deal of trouble urinating.  The doctor offered to put the
catheter back in.  That motivated me and I managed to squeeze
some out.  It took about 5 months of Flomax before I was back
to normal, but I never needed a catheter after the one for the
procedure was taken out an hour after I woke up.

>> Also, does anyone have a "ballpark" idea of what the costs are for this
>> particular type of treatment?

Mine was free!  I was treated in a clinical trial of MRI guided
HDR brachytherapy at the National Cancer Institute.  I didn't
pay for the procedure, the tests, the hospital room, the docs,
not even the parking.  I also got free Flomax and Viagra afterwards.

   Alan
3Putt from CoastalSouth Carolina - 21 Sep 2007 13:22 GMT
I had Brachytherapy last December.  Catheter was in until the next morning.
No discomfort.  Leading up to and after receiving all the bills: hospital,
oncologist, urologist, and anthesist, my out of pocket expenses were $4,000.
(I was not under Medicare at the time.)  The hospital bill alone (for 3
hours use of their operating room) came to $46,000, Blue Cross knocked that
down to $36,000.   As a comparison, my wife just had breast surgery and
reconstructive surgery.  She was in the operating room for 9 1/2 hours, and
seven nights in the hospital.  One surgeon and one plastic surgeon in
attendance.   Hospital charge: $56,000.  It's probably not possible to
"estimate" costs.  At this point, I have a gut feeling the hospitals bill
you and the insurance companies for all the other surgeries that they can't
collect on.  Of course they can only collect what Medicare and the insurance
companies have agreed on, but some of these charges probably do slip
through.

> If I am unable to obtain Insurance autghorization for the CyberKnife
> procedure, I will undergo radioactive seed implants as an out-patient.
[quoted text clipped - 7 lines]
>
> Sy
cognite tute - 21 Sep 2007 15:40 GMT
> If I am unable to obtain Insurance autghorization for the CyberKnife
> procedure, I will undergo radioactive seed implants as an out-patient.
[quoted text clipped - 7 lines]
>
> Sy

Nov. 05

no catheter

flomax was prescribed for about 1 yr.

psa tests  @ 3 months for 1 year

now once every 6 months

no problem

Apparent cost  $30,000.

discount of about $10,000

my cost  about $1000

j.
MAS - 21 Sep 2007 22:42 GMT
Catheter out next day. Three hours after procedure went back to the hotel
and rested. Next morning catheter was pulled. The trick to keeping catheter
out is to drink at least 64 oz of water a day and take warm sitz baths four
times a day for the first three weeks.

Good luck and heal quickly.

Gourd Dancer

>> If I am unable to obtain Insurance autghorization for the CyberKnife
>> procedure, I will undergo radioactive seed implants as an out-patient.
[quoted text clipped - 27 lines]
>
> j.
Greg Louis - 22 Sep 2007 13:40 GMT
> Does anyone know whether this [brachytherapy] requires a catheter post-
op?

In my case, no catheter was used during or after the procedure.  As the
responses in this thread show, practitioners differ about the need.  But
I at any rate did fine without one.
Signature

Greg Louis
At age 58, PSA 5.4 rising triggered biopsy 2004-06-22, Gleason 3+3, T1c,
prostate volume 27 cc.  Monotherapy, 55 I-125 seeds implanted 2004-11-16.
PSA nadir 0.59, spike (at 26 months) 3.29, latest (at 33.5 months) 0.78.

RR - 23 Sep 2007 06:15 GMT
I would not know - I chose the route of RP.
However, I don't think that the question of catheter
should have any weight at all in your decision which route to take.

Good luck whatever you decide

RR

>> Does anyone know whether this [brachytherapy] requires a catheter post-
>op?
>>
>In my case, no catheter was used during or after the procedure.  As the
>responses in this thread show, practitioners differ about the need.  But
>I at any rate did fine without one.
Steve Kramer - 23 Sep 2007 19:53 GMT
>> Does anyone know whether this [brachytherapy] requires a catheter post-
> op?
>>
> In my case, no catheter was used during or after the procedure.  As the
> responses in this thread show, practitioners differ about the need.  But
> I at any rate did fine without one.

Your journey is amazing, Greg.  Glad to see a PSA in the decimals again.

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA  <.1  <.1  <.1  .27  .37  .75            PSAD 0.19 years
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32                       PSAD .056 years
Lupron 07/03 (1 mo) 8/03 and every 4 months there after
PSA  .07 .05 .06 .09 .08 .132 .145       PSAD 1.4 years
Casodex added daily 07/06
PSA <0.04, <0.05, <0.04 (06/12/2007)
Non Illegitimi Carborundum

 
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