American Brachytherapy Society criteria for permanent brachytherapy of the prostate: Contraindications

Clinical exclusion criteria

Life expectancy <5 years

Large or poorly healed TURP defect

Unacceptable operative risks

Distant metastases

Relative contraindications for brachytherapy

These patients are not ideal candidates for brachytherapy but have nevertheless been successfully implanted. Beginners should not implant these patients.

Patients at increased risk of developing complications

Large median lobes

Previous pelvic irradiation

High AUA symptom score

History of multiple pelvic surgeries

Severe diabetes with healing problems

Technical difficulties that may result in inadequate dose coverage

Previous TURP

Gland size >60 cc at time of implantation

Prominent median lobe

Positive seminal vesicles

TURP: transurethral resection of the prostate; AUA: American Urological Association.

Data from: Int J Radiat Oncol Biol Phys 1999; 44:790.

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American Brachytherapy Society criteria for permanent brachytherapy of the prostate: Contraindications