Keisei Okamoto
Current advents of new technology in prostate cancer treatment still carries many problems regarding oncological outcome: Local control remains elusive, with biochemical failure ultimately occurring in half of the patients diagnosed by PSA screening. Failure of the initial treatment imposes many kinds of physical, psychological, and economical burdens on the patients, such as toxicities caused by salvage hormonal therapy or radiotherapy, risk for developing Castration-Resistant Prostate Cancer (CRPC), and financial insecurity after second or third salvage drug therapy
Considering these potential adverse effects, physicians should conduct prostate cancer treatment with the utmost care and attention to details. In order to minimize local recurrence the author has invented a novel technique, called the “Ten-Step Method,” for seed implantation that can disseminate quality high-dose radiation. In this review, the author summarizes technique, application and oncological outcome of the high-quality high-dose, Low- Dose-Rate (LDR) branchy therapy that can minimize local recurrence of prostate cancer.