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A New Technique for Treating Low-risk Prostate Cancer—Super Active Surveillance

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Published on: November 7, 2025

[Voiding dysfunction after brachytherapy in patients with prostate cancer].

Salvador Arlandis Guzmán¹, Miguel Angel Bonillo García, Enrique Broseta Rico

¹Unidad de Tracto Urinario Inferior, Servicio de Neurología y Urodinámica, Servicio de Urología, Hospital Universitario La Fe, 46009 Valencia, España. arlandis@pulso.com

Archivos Espanoles De Urologia

|January 13, 2010

Summary

Urinary symptoms are common after brachytherapy, peaking at 1-3 months. Predictive factors and surgical techniques can help manage urinary retention and improve quality of life.

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Area of Science:

Urology
Radiation Oncology

Context:

Urinary symptoms are frequent after brachytherapy for prostate cancer.
These symptoms typically peak between 1-3 months post-implant and resolve by one year.
Acute urinary retention affects 1.5-27% of patients, with 0-8.7% requiring surgery.

Purpose:

To identify predictive clinical factors for urinary complications post-brachytherapy.
To discuss management strategies for urinary retention and voiding symptoms.
To explore techniques minimizing urethral damage during brachytherapy.

Summary:

High IPSS score, large prostate size, and obstructive voiding parameters predict higher risk of urinary retention.
Peripheral implant techniques and avoiding the urethral plane can minimize complications.
Alphablockers may alleviate symptoms but do not eliminate the need for surgery.

Impact:

Informed patient counseling regarding potential urinary complications.
Optimized surgical planning for transurethral resection of the prostate (TURP) in cases of sustained retention.
Improved quality of life for patients undergoing brachytherapy.