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Prostate Cancer


causes substantially less impairment of different aspects of normal sexual and urinary function and resumption of normal activities, including social life and returning to work, is more rapid. In terms of long-term recurrence-free survival, BT provides efficacy that is comparable to that obtained with RP and EBRT. The 10- to 15-year biochemical control for low-risk patients treated by seed implant monotherapy is consistently between 85 and 95 % with no evidence of late failures occurring after 10 years. In addition, the 10-year disease-specific survival for patients with Gleason 6 disease treated


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with prostate BT is up to 98 %. Treatment options for localised PCa have been shown to have similar survival outcomes and thus treatment selection is typically made based on morbidity and adverse event profiles. Future QoL is a highly important factor in this decision process. As robotic-assisted RP methods have as yet failed to improve clinical outcomes seen using open surgical techniques and have not improved the side effects, BT strongly represents a truly advantageous and minimally invasive technique with a very good safety profile for patients with localised PCa. n


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