For years, treatment for men with prostate cancer
often resulted in incontinence or impotence and failed
treatment results. High Dose Rate (HDR) Remote Afterloading
Brachytherapy is a highly-effective outpatient alternative
that minimizes these devastating side effects; significantly
reduces treatment and recovery times and most importantly,
minimizes recurrence of prostate cancer. Brachytherapy
is the term for a radioactive source applied in or
near a tumor.
Dr. Behar uses the Varisource High Dose Rate Remote
Afterloading System developed by Varian Medical Systems,
an international company. This system has been used
extensively worldwide for more than a decade and exceeds
the most stringent safety requirements. Because of
his special medical background, Dr. Behar is the first
physician in the Houston area to utilize High Dose
Rate Remote Afterloading for prostate cancer.
Essentially, radioactive seeds attached to thin wires
are strategically inserted into the prostate so as
not to damage adjoining tissues while "smart
bombing" cancerous cells with a precise dosage
of radiation determined in advance by Dr. Behar. A
number of hollow tubes are linked from the portable
HDR machine to the prostate. These hollow catheters
are inserted through the skin surface into the prostate
gland. The HDR machine dispenses a radioactive source
through each tube, then retrieves them -- with the
whole procedure lasting only a few minutes. The number
of HDR treatments will be determined in advance by
Dr. Behar, but multiple treatments can be completed
within 24 to 48 hours.
In contrast, radioactive seed implant treatments
place seeds inside the prostate that remain and gradually
lose their potency over time.
HDR Brachytherapy can be employed singularly or in
combination with other treatment modalities such as
external beam radiation. Studies at the Swedish Medical
Center have shown that radioactive seeds that are
inserted, then removed, in concert with external beam
radiation have one of the lowest prostate cancer recurrence
rates compared to surgery or external radiation alone
(Fortune Magazine, May 13, 1996).
High Dose Rate Remote Afterloading continues to gain
acceptance because of its many benefits, including:
A) No temporary or permanent damage
to adjoining tissues and organs,
B) Decreased impotence, incontinence and urinary side
effects,
C) No prolonged hospitalization,
D) No side effects such as nausea, hair loss or diarrhea,
E) No special dietary considerations or major pre-treatment
preparations, and
F) Minimal recovery time.