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Salvage brachytherapy in patients whose localised prostate cancer recurs after external beam radiotherapy

This subject is an important one for there are many patients who develop local recurrence of prostate cancer after external beam radiotherapy and want a cure chance; anti-hormone therapy is perceived to only give a remission, albeit for a long time.
 
In a recent editorial by Gordon Grado (Urology 1999; 54: 204-207) this subject is fully discussed. In short, there is a chance of salvage cure in this patient group, but the risks associated with brachytherapy are higher than in an untreated patient, particularly with regard to the risk of subsequent urinary incontinence.