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Patient Care

Treatment Technologies

For patients who are to receive radiation therapy, we offer comprehensive treatment options with state of the art machines and experienced physicians, medical physicists, dosimetrists, therapists, and nurses.

Treatment of Prostate Cancer

1. Prostate brachytherapy (seed implant): For men with prostate cancer limited to the prostate or as a "boost" when combined with external radiation for men with higher risk prostate cancer. Our technique combines preplanning of the procedure 2-3 weeks prior to implant with intraoperative planning on the day of the implant. This allows the most accurate delivery of treatment for each patient. We integrate other imaging modalities including prostate MRI at the time of the implant to better define the high risk areas of the prostate and confirm ideal placement of the seeds before completing the procedure. Dr. Martin is the leader of the brachytherapy program and has performed over 750 seed implant procedures.
Patient information describing this process.

2. External Beam Radiation Therapy: For men receiving external beam radiation therapy, we deliver:

  • Image Guided Radiation Therapy (IGRT)
  • Intensity Modulated Radiation Therapy (IMRT)
  • Volumetric Modulated Arc Therapy (VMAT)

Some men are canidates for Calypso Beacon technology. This technology uses passive radiofrequency beacons that are implanted into the prostate or prostate bed (in patients who have recurred after surgery). We are then able to track in real time the position of the prostate/prostate bed while treatment is being delivered. If there is any movement outside of prescribed limits, the treatment beam will stop until everything is back in alignment. For those men who are not canidates for Calypso, we impant gold markers in the prostate/prostate bed that allows exact alignment daily immediately before the treatment is delivered. These technologies allow highly accurate treatment delivery to the prostate while reducing the dose to surrounding normal tissue.
Patient information describing this process. 

3. Some men with intermediate or high risk prostate cancer benefit from combined external beam and brachytherapy and the techniques described above are utilized for each phase of the treatment.

4. For men with low risk prostate cancer, active surveillance is an option and we feel very strongly that this option should be thoroughly reviewed with the patient. We have many men who have chosen this option and follow in our clinic without active treatment.

5. For men with high risk and some men with intermediate risk prostate cancer, combining hormonal therapy with radiation therapy is often beneficial and having a multidisciplinary team of radiation oncology, genitourinary medical oncology, and urologic surgery is critical to providing the best care possible.

Treatment of Bladder Cancer

1. For patients with invasive bladder cancer who are either not a candidate for radical surgery, or who choose not to have radical surgery, we offer definitive therapy with combined chemotherapy and radiation therapy. We work closely with the Urologic Surgeon and the Genitourinary Medical Oncologist to provide the best care possible as each team member has a critical role in the care of these patients and timing and coordination of care is critical.

2. For patients with recurrent bladder cancers or other recurrent cancers, if the disease is localized to a limited area, focal high dose radiation therapy is often beneficial. In some cases this is delivered with intensity Modulated Radiation Therapy (IMRT) and in other cases, the patient may benefit from Stereotactic Body Radiation Therapy (SBRT), a radiation technique to deliver very high focused doses of radiation over limited number of treatments, typically 1-5 treatments.

Treatment of Testicular Cancer

Though the most common cancer in men ages 20-35, testicular cancer uncommon and it is very beneficial for patients to be able to review these options with an experienced, collaborative multispecialty team including a genitourinary radiation oncologist, and urologic surgeron. Radiation therapy to lymph node regions in the abdomen and pelvis may be indicated for med with stage I or Stage II disease.

Treatment of other Gentiourinary Malignancies

1. Penile and urethral cancers are uncommon and are best cared for by an experienced team of experts as each case is unique and requires expertise from each member of the team.

2. The primary role for radiation therapy in kidney cancer is to treat cancer that has spread to other organs to relieve symptoms or prevent symptoms. Often, metastatic kidney responds better to focused high dose radiation such as Gamma Knife Radiosurgery or Stereotactic Radiation Therapy, and at the James Radiation Oncology Department we have extensive experience in both techniques.