Brachytherapy

Brachytherapy is a form of internal radiation therapy where radioactive sources are placed inside or near a tumor to target cancer directly. This precise approach minimizes damage to surrounding healthy tissue and can be used alone or with other treatments like external radiation or surgery.

The Procedure

What is the Implant?

An intracavitary implant involves placing radioactive sources into body cavities (such as the vagina or uterus) using a specially designed applicator. This allows for a concentrated dose of radiation to the tumor while protecting nearby normal tissue.

Does it Hurt?

• If performed in the Operating Room, anesthesia is provided.
• If done in the Radiation Oncology Department, you may feel pressure but remain awake and drowsy. Medication is available for discomfort.

What Happens After?

• A CT scan is conducted after the applicator is placed to create your treatment plan.
• You must remain on complete bed rest while the applicator is in place, avoiding sudden movements.

Applicator Removal

• After treatment, the applicator and vaginal packing will be removed, along with the catheter.
• There's no residual radiation after the implant is removed, so you are not radioactive.
• Assistance will be offered as you resume activity.

Post-Treatment Care

Applicator Removal

• After treatment, the applicator and vaginal packing will be removed, along with the catheter.
• There's no residual radiation after the implant is removed, so you are not radioactive.
• Assistance will be offered as you resume activity.

At Home

• Expect light spotting or discharge for a few days to weeks. Report heavy bleeding, foul-smelling discharge, or fever.
• Use sanitary pads instead of tampons; shower instead of bathing.
• Clean the perineum with a peri bottle and warm soapy water after bowel movements.

Managing Fatigue and Digestive Changes

• Fatigue may linger. Ensure ample rest and engage in light exercise.
• For constipation, drink 8–10 glasses of water daily, eat fiber-rich foods, and use a stool softener if needed.
• For diarrhea, stick to a low-residue diet (such as rice, pasta, cooked fruits/vegetables) and use over-the-counter remedies like Imodium if required.

Urinary Discomfort

Mild burning or urgency is common. Drink fluids and report foul-smelling urine.

Sexual Activity

• Intercourse can resume in 2–3 weeks. Use water-based lubricants like KY Jelly® if needed.
• If not sexually active, use a vaginal dilator after one month to prevent the vaginal walls from closing. Use it three times weekly for 5–10 minutes.

For additional concerns or guidance, your care team is here to support you every step of the way.