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Radiation induced rectal ulcers and fistulas are rare but significant complications of low dose rate prostate brachytherapy for localized prostate cancer. We describe the incidence of ulcers and fistulas, and associated risk factors.We reviewed the records of 4,690 patients with localized prostate cancer who were treated with low dose rate 125I prostate brachytherapy to a dose of 144 Gy with or without...
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