[Indications, results and techniques of permanent prostate brachytherapy for localized prostate cancer].

INTRODUCTION AND

OBJECTIVE

Prostate brachytherapy is a first-line therapeutic approach for localized prostate cancer in selected patients. We present our experience in brachytherapy and a thorough review of the literature.

MATERIALS AND

METHODS

A review of the literature and evaluation of patient's selection was done. Furthermore the implantation technique, oncological results according to the different risk groups and acute and chronic complications were also analyzed.

RESULTS

The biochemical relapse-free 10 year survival rate was 87-96% in low risk tumours and 63-86% in intermediate risk tumours. A total of 3-24% underwent urinary retention that required TURP in 0-8,7%. Other complications were urinary incontinence in 0-6,7%, proctitis in 0-15,5%, erectile dysfunction in 6,3-30%, rectal ulcer/fistula in 0-5,4%.

CONCLUSIONS

Prostate brachytherapy is a safe and effective treatment in low and intermediate risk patients with prostate cancer.