Technical advances in prostate brachytherapy have stemmed from the developm
ent of transrectal ultrasound and computerized planning. Permanent radioact
ive seed implantation has emerged as a viable treatment for low-risk prosta
te cancer patients, along with external beam radiation therapy and prostate
ctomy. Its most promising use, however, may be in combination with hormonal
therapy and external beam irradiation in moderate-to-high risk patients, f
or whom it may offer improved outcomes over standard single-modality therap
ies.