JP Meyer Urology

Transperineal Insertion of Gold Seeds (fiducial markers)

Patient Information

What are Gold Seeds (fiducial markers)?

Gold seeds (fiducial markers) are tiny seeds inserted into the prostate to help locate the position of the prostate during radiotherapy planning and treatment. The seeds are inserted under anaesthetic and via transperineal ultrasound guidance (the same procedure for transperineal biopsy of the prostate).

This procedure requires a general anaesthetic and is performed on a day case basis. You must arrange to have a family member or friend drive you home.

In some instances, during seed insertion, you may also have a temporary spacer inserted between your prostate and rectum prior to receiving radiation treatment. This is to keep your rectum safe.

Potential Complications:

Difficulty passing urine - this is normal and will resolve. It is important to maintain a high fluid intake for a few days

Blood in your semen - this is normal and can persists for up to 8 weeks

Blood in the urine - this is normal, and it is important that you maintain a high fluid intake for a few days following the procedure.

Erectile dysfunction - this occurs in less than 3 % of patients and invariably resolves.

Infection this is unlikely however can occur in approximately 1 in 1000 men.

Resumption of Normal Activities:

As you were sedated, this will affect your judgment for about 24 hours. For your own safety do NOT drive any type of car, bike or other vehicle. Do NOT operate machinery including cooking implements. Do NOT make important decisions or sign a legal document. Do NOT drink alcohol, take other mind-altering substances, or smoke. They may react with the anaesthetic drugs. Have an adult with you on the first night after your procedure.

A light diet is recommended following your procedure. A normal diet may be resumed on the following day. After your procedure it is important to drink approximately 2 3 litres of fluid a day.

I suggest you rest quietly for the remainder of the day and avoid any heavy lifting or straining until the blood clears from your urine and bowels

Follow up:

You will be discharged back into the care of your Radiation Oncologist, however if you have any questions concerning your care after your surgery please contact Dr Meyer's rooms on 07 38834431.

This information is a guideline and is not intended to replace medical advice. Printed March 2020