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Prostate Brachytherapy using Local Anesthesia and Conscious Sedation
Local anesthesia and conscious sedation has been in routine use at RMG since 2002 and offers several advantages, leading to its adoption as our standard brachytherapy anesthesia method. First of all, it has allowed us to move the procedure from the hospital setting to the office setting, which is typically a more comfortable environment for the patient, with a faster recovery and discharge. Second, patient acceptance of this anesthesia method has been excellent, and was the subject of a report accepted at the American Brachytherapy Society annual meeting in New York City, May 2003 (9).
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Finally, moving the procedure to the office setting allowed by this anesthesia technique has allowed us to develop the CT-ultrasound interactive brachytherapy treatment method, which we consider a more advanced brachytherapy technique. The logistics of coordinating an operating suite, ultrasound machine, CT scanner, planning computer and all personnel required to operate these devices is formidable and only possible in the office setting at this time.
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3D Conformal Radiotherapy (with IMRT)
High Dose Rate Prostate Brachytherapy
CyberKnife Radiosurgery for Prostate
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