The Japanese Journal of Urology
Online ISSN : 1884-7110
Print ISSN : 0021-5287
ISSN-L : 0021-5287
HIGH-DOSE RATE IRIDIUM-192 BRACHYTHERAPY WITH FLEXIBLE APPLICATOR
A TRIAL TOWARD DECREASE OF STRESS DURING TREATMENT AND IMPROVEMENT OF QUALITY OF LIFE
Keiji InoueKotaro KasaharaTakashi KarashimaYuichiro InoueTaro ShuinShinji KariyaTaisuke InomataShoji Yoshida
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2001 Volume 92 Issue 5 Pages 566-571

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Abstract

(Purpose) We tried to improve the materials and methods of high-dose rate Iridium-192 brachytherapy for localized prostate cancer and evaluated the stress during the treatment in 20 patients with whom the therapy was performed.
(Meterials and Methods) Rigid applicators made of stainless steel of 1.6mm in diameter were indwelt with a template as usual for 30 hours in 14 patients (group A). Flexible applicators made of polyoxymethylene rosin (POM) of 2.0mm in diameter were indwelt without a template for 30 hours after the applicator insertion in 6 patients (group B). We made inquiries about lumbago, inconvenience and necessity of assistant help and sleep in the course of therapy, and urinary incontience and erectile function after the course of therapy as the QOL.
(Results) The stress during the course of therapy in the patients of group B was obviously less than that of group A. There were no significant differences in urinary incontinence and erectile function after the course of therapy between group A and B.
(Conclusion) In this study, our trial successfully reduced the stress during the course of therapy in the patients with localized prostate cancer in the course of high-dose rate Iridium-192 brachytherapy.

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