The Prostate Seed Implant (PSI) Work Up
A person having a PSI takes part in a 3-phase process. This handout explains the
first phase of this process, the PSI Work-Up. This phase makes sure that a PSI is
right for you. The Work-Up phase involves two parts. The first part takes place
before your Work-Up visit. The second part takes place during your Work-Up
Part 1: Before your Work-Up Visit
The RN working with the radiation
doctor will make sure that your
insurance will cover the PSI treatment
plan. This can take a few days. He or
she will get in touch with you as soon
Part 2: The Day of your Work-Up
Once your insurance coverage is
verified, the nurse will call you to set
up your Work-Up visit. This visit
takes 2-4 hours to complete. It starts
in the Radiation Oncology Clinic.
The first thing that is done is that the
size of your prostate gland is
measured. The measurement of your
prostate gland can be done by either
CT or ultrasound exam. The size of
the gland must be within a certain
range. If the prostate gland is too
large, the doctor may want to see if he
or she can shrink it with the use of
medication. The doctor will talk to
you if this is the case.
If the size of the gland is okay, the
next part of the work-up is done. The
RN will meet with you. He or she
will explain what happens on the day
of the implant. You will be told what
you need to do. You will also get a
written handout. This handout is
HFFY # 5731, How to Prepare for
your Prostate Seed Implant. One of
the resident doctors in the clinic will
also meet with you. He or she will
obtain your informed consent.
You will be given two consent forms
to read. The first consent form is for
the surgical procedure and the
anesthesia. The second consent form
is for the radiation therapy. You will
need to sign both consents if you want
to go ahead with the PSI. The doctor
will witness your signatures. He or
she will then give you a brief physical
exam. This is a requirement for
patients who are to get anesthesia.
The RN will ask you about the
medicines you take every day. Be
sure to bring an up to date list of the
medicine you take. Sometimes
changes need to be made to the
medicines you take on a daily basis.
This is because the PSI is a surgical
procedure. The nurse may need to
contact your other doctors about some
of your medicines.
You will be sent to the lab to have
some blood work drawn. You may be
sent for a chest x-ray and also to the
cardiac department for an EKG.
At the end of this visit you will go to
the Anesthesia Screening Clinic. It is
on the second floor. In this clinic an
RN will meet with you to review your
work-up results. You will be asked
about any prior anesthesia you have
had. The list of medicines you take
on a daily basis will be reviewed.
You may receive special instructions
about which medicines to take on the
morning of your implant.
Please call if you have any questions or concerns. The phone number for the
Radiation Oncology Clinic is (608) 263-8500. If you live outside of the Madison
area, call 1-800-323-8942. If the clinic is closed, your call will be transferred to
our answering service. Ask to speak to the radiation doctor on call. The doctor will
call you back.
Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright ©7/2016. University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#5508.