Trans Perineal Ultrasound Guided Placement of Fiducial Markers

You would have received a diagnosis of Prostate Cancer and Radiation Therapy would have been discussed as the most appropriate treatment for the stage and specifics of your cancer.

Why is it done?

• This is the placement of gold seed markers in the prostate to assist with radiation. This is to identify the edges of the prostate as it shrinks with Hormonal Therapy and the effects of Radiation Therapy
• It is done as a day surgery procedure. You are required to remain starved 6-8 hours prior to the procedure.
• You would have had a diagnosis of locally advanced prostate cancer with no metastatic disease is present. The seed placement assists in localizing the prostate borders during radiation.

How is it done?

• This procedure is done under GA as a day procedure and takes approximately 20min (incl anesthetic time)
• Lithotomy position
• Rectal ultrasound placed
• With ultrasound guidance 3 Gold fiducial markers are placed in the prostate. Usually right base, right apex and left mid

Complications

Side–effects

• Hematuria (blood in urine) 2-3days
• Hematospermia (blood in ejaculate) will become less the more often you ejaculate.
• < -0.5% risk of infection

ANY FEVERS REQUIRES URGENT ATTENTION

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Copyright 2019 Dr Jo Schoeman