Related Experiment Videos
Prostate brachytherapy in patients with prior evidence of prostatitis
S Aggarwal1, K Wallner, L D True
1Department of Radiation Oncology, University of Maryland, Baltimore, USA.
Purpose:
To refute a misconception that a prior history of prostatitis is a contraindication to prostate brachytherapy.
Methods And Materials:
Five patients with clinical or pathologic evidence of prior prostatitis were treated with transperineal brachytherapy. Four of the patients received a single i.v. dose of ciprofloxacin (500 mg) intraoperatively. Postimplant antibiotics were not given. The pretreatment biopsy slides were reviewed.
Results:
Two of the five patients developed postimplant urinary retention requiring short-term catheterization, and both resolved spontaneously. One patient developed what appeared to be an exacerbation of his chronic prostatitis.
Conclusion:
We continue to recommend prostate brachytherapy for the treatment of clinically organ-confined cancer, with no concern about prior clinical or pathologic evidence of prostatitis.