Urology
Volume 74, Issue 4 , Pages 924-925, October 2009

Percutaneous Fluoroscopically Guided Salvage of Misplaced Perirectal 125I Prostate Seeds—Easy Way Out

  • Christopher Bangard

      Affiliations

    • Department of Radiology, University of Cologne, Köln, Germany
    • Corresponding Author InformationReprint requests: Christopher Bangard, M.D., Department of Radiology, University of Cologne, Kerpener Strasse 62, Köln D-50924 Germany
  • ,
  • Robert Semrau

      Affiliations

    • Department of Radiation Oncology, University of Cologne, Köln, Germany
  • ,
  • Henning Bovenschulte

      Affiliations

    • Department of Radiology, University of Cologne, Köln, Germany
  • ,
  • Klaus J. Lackner

      Affiliations

    • Department of Radiology, University of Cologne, Köln, Germany

Received 11 November 2008; accepted 22 December 2008. published online 07 August 2009.

Permanent prostate implants are widely used as therapy for localized prostate cancer. Transperineal placement of 125I seeds can be directed safely by transrectal ultrasound imaging. Misplaced seeds can produce serious damage in various organs, especially in the rectal mucosa. The rescue of misplaced seeds can be performed with open surgery or with minimally invasive percutaneous intervention. We report a case of percutaneous fluoroscopically guided salvage of misplaced perirectal 125I prostate customized stranded seeds using an interventional angiographic catheter.

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PII: S0090-4295(08)02039-6

doi:10.1016/j.urology.2008.12.023

Urology
Volume 74, Issue 4 , Pages 924-925, October 2009