The Care Process

C. BRACHYTHERAPY PROCESS:

STEPS IN THE LDR PROSTATE BRACHYTHERAPY IMPLANT PROCEDURE

1. Before admission to hospital

  1. Your healthcare team and treating hospital will inform you of important details regarding your hospital stay, including reimbursement issues.
  2. You may be required to complete your health history online
  3. You may be admitted the night prior, or the day of your procedure
  4. Admission to hospital date and time will be given
  5. Your healthcare team will advise you on
  1. how to prepare your lower bowel (rectum) for the procedure including diet and possibly suppositories
  2. fasting time (when to stop eating and drinking before your procedure)
  3. medication, x-rays, scans that you are required to bring with you
  4. medication you need to stop before the procedure, e.g. anti-coagulants, anti-inflammatories, herbal or complementary supplements

2. Admission to hospital

  1. You may be admitted directly to a hospital ward or to a pre-surgery area.
  2. Following your preparation, you will be taken to the operating theatre for the implant procedure.

3. The procedure

  1. Details will be availed by your Radiation Oncologist during your informed consent discussion
  2. In general the procedure takes about 1 hour to complete

4. After your procedure

  1. You will remain in the theatre recovery area for a short period of time before being transferred to the ward.
  2. You may have an ice pack placed between your legs to help reduce swelling to the implant area.
  3. You will be given some pain killers after the procedure though the pain usually settles quickly.
  4. You may have a catheter in place to drain urine and this may be removed a few hours after the procedure
  5. You will be given antibiotics to prevent infection.
  6. You may be given stool softeners to avoid constipation.
  7. You can usually resume eating and drinking once you are awake.
  8. Advise your healthcare team if you are experiencing pain, and they can help manage this.

5. Preparing to go home

  1. You may need time off work. Discuss with your radiation oncologist or urologist when you can expect to return to work.

6. Radiation aftercare

  1. It is normal for you to be concerned about radiation safety – but it is important to remember that whilst the seeds are radioactive, you are not. Most of the radiation is absorbed by the prostate. Normal social contact will not put you or anyone around you at risk.
  2. However, for the first couple of months you should, as a precaution, avoid having small children on your lap for continual periods of time, as well as prolonged physical contact with pregnant women. Your healthcare team will give you specific instructions regarding this issue.

DR PAUL PARADZA

Dr Paradza offers high quality, personalised, evidence-based and peer reviewed multidisciplinary cancer care for all his patients.

CONTACT

Marker Oncology Building, Netcare Pinehaven, Pinehaven Estate,
1 Gateway Road, Pinehaven Twp, Krugersdorp, 1739

Tel 011 622 1433/1943

Email admin@radicarehealth.co.za