Abstract # 2203 Improving the Therapeutic Ratio of Prostate Brachytherapy: Dose Escalation in I-125 Prostate Implants

Presenter: Kao, Johnny

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Results:
The 5 year bDFS (ASTRO definition) for the entire cohort was 96.6%. The positive biopsy rate was 4.1%. For low risk patients, the 5 year bDFS was 97.1% while for intermediate/high risk patients, the 5 year bDFS was 92.6%. There were no PSA failures beyond 6 years. Freedom from ≥ grade 2 rectal bleeding at 5 years was 88.5%. Acute urinary retention occurred in 10.7%, more commonly in patients with high pretreatment IPSS scores (p<0.01). The median IPSS scores increased significantly during the first six months after implant. The median IPSS was 6 (range 0-28; 25 to 75th percentile: 3-10) pre-implant compared to 6 (range 0-31; 25 to 75th percentile: 3-11) post-implant with 3-year minimum follow-up. Using a 2-tailed t-test with unequal variance, there were no significant differences between pre and post-implant IPSS scores (p=0.14). Among patients who were potent prior to treatment, 73.4% remained potent at 5 years after implant.


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