Variations in International Prostate Symptom Scores, Uroflowmetric Parameters, and Prostate Volume After ¹²⁵I Permanent Brachytherapy for Localized Prostate Cancer - 06/08/11

Doi : 10.1016/j.urology.2008.12.062

Nobumichi Tanaka ^a,^⁎ , Kiyohide Fujimoto ^a, Yoshihiko Hirao ^a, Isao Asakawa ^b, Masatoshi Hasegawa ^b, Noboru Konishi ^c
^a Department of Urology, Nara Medical University, Kashihara, Japan
^b Department of Radiation Oncology, Nara Medical University, Kashihara, Japan
^c Department of Pathology, Nara Medical University, Kashihara, Japan

Reprint requests: Nobumichi Tanaka, M.D., Department of Urology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan

Résumé

Objectives

To evaluate the chronologic changes in the International Prostate Symptom Score (IPSS), uroflowmetric parameters, and prostate volume (PV) in patients who received low-dose-rate brachytherapy.

Methods

Between July 2004 and December 2006, 110 patients received low-dose-rate brachytherapy. Of the 110 patients, 82 were treated with seed implantation alone and 28 with combined external beam radiotherapy. The IPSS, uroflowmetric parameters, and PV were evaluated before seed implantation and at 1, 3, 6, and 12 months after seed implantation.

Results

The mean IPSS showed a significant increase at 1 and 6 months after seed implantation and had returned to baseline 12 months later. The maximal flow rate, voided volume, and postvoid residual urine volume showed transient deterioration at 1 and 6 months after seed implantation and had returned to the baseline 12 months later. The mean PV compared with the baseline PV showed a significant 3.8-cm^{3Merrick G.S., Butler W.M., Lief J.H., et al. Temporal resolution of urinary morbidity following prostate brachytherapy Int J Radiat Oncol Biol Phys 2000 ; 47 : 121-128 [cross-ref]

Cliquez ici pour aller à la section Références} decrease (11.2%) at 12 months after implantation. The patients who did not receive neoadjuvant hormonal therapy had a 5.9-cm^{3Merrick G.S., Butler W.M., Lief J.H., et al. Temporal resolution of urinary morbidity following prostate brachytherapy Int J Radiat Oncol Biol Phys 2000 ; 47 : 121-128 [cross-ref]

Cliquez ici pour aller à la section Références} decrease in PV (20.2%) 12 months later. In contrast, those who received neoadjuvant hormonal therapy had no change in PV after seed implantation.

Conclusions

This is the first report to evaluate the chronologic changes in subjective parameters (IPSS) and objective parameters (uroflowmetry) and PV, concurrently. The changes in subjective parameters correlated with the changes in objective parameters during the first 12 months after seed implantation. The change in the PV was different after seed implantation in patients with or without neoadjuvant hormonal therapy.

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