If the ultrasound shows that your prostate is too large for implantation, your urologist will be notified and hormone therapy may be recommended to shrink the prostate volume. Thiscan take up to several months, and you should be aware that hormones arrest the growth of prostate cancer so that the disease should not continue to grow or progress. Following several months of hormone therapy, you will have a new ultrasound to reassess the prostate size.

If you are eligible for the implant, your urologist and radiation oncologist will schedule a time for the implant procedure as well as the date for preoperative testing, consisting of blood work, urine testing, an EKG and chest x-ray. Based on these results, your primary care physician will write a note of medical clearance. All patients must have medical clearance prior to surgery. If you have a long-term medical problem that may be affected by surgery or you take medications that should be stopped before surgery (i.e. aspirin or blood thinners) please inform your radiation oncologist and urologist.

On the day prior to surgery, you should have a clear fluid diet (ie jello, broth, ginger ale) and take a laxative (8 ounces of magnesium citrate) the evening prior to surgery. On the morning of surgery, you should take a Fleets enema about two hours before your scheduled admission time. If you expect a problem tolerating this preparation, please inform the radiation oncology nurse or urologist