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contentuptodate· Content· item f2_9_2204

©2013 UpToDate ® Print Email American Brachytherapy Society criteria for permanent brachytherapy of the prostate: contraindications Clinical exclusion criteria Life expectancy <5 years Large or poorly healed TURP defect Unacceptable operative risks Distant metastases Relativecontraindications for brachytherapy These patients are not ideal candidates for brachytherapy, but have nevertheless been successfully implanted. Beginnersshould not implant these patients. Patientsat increased risk of developing complications Large median lobes Previous pelvic irradiation High AUA score History of multiple pelvic surgeries Severe diabetes with healing problems Technicaldifficulties which may result in inadequate dose coverage Previous TURP Gland size >60 cc at time ofimplantation Prominent median lobe Positive seminal vesicles TURP: transurethral resection of the prostate; AUA: American Urological Association. Data from: Int J Radiat Oncol Biol Phys 1999; 44:790.