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Measures to improve outcome and minimize
risk of complications
•
Apply meticulous technique
•
Don’t drag seeds back into the rectal hump
•
Keep implant needles closest to the rectum at the prostato-
rectal interface at least 5mm higher than the posterior prostatic
boundry (c1 and d1 – use the 1.5 row rather) particularly in thin
patients and prostates with longer sagittal measurements (long
prostates – more than 8 slices)
•
Keep the urethra and TURP defect cooler than the periphery
•
Avoid implanting seeds into the urethra or TURP defect
•
If the seeds are too hot for the volume, use some cooler seeds
even if they are just used for the rows closest to the rectum or
urethra