A sixty seven-year-old patient who was diag- nosed to have prostatic adenocarcinoma, experienced a
medical misadventure when he received external beam radiation therapy
followed by a full dose of iodine-125 brachytherapy, instead of boost
dose. The patient was referred to our center for further evaluation and
possible urgent radical prostatectomy. The patient underwent successful
robotic radical retropubic prostatectomy with bilateral lymphnode
dissection. Radioactive seeds were removed and the patient remains
diseasefree with 10 months follow-up. Most importantly, the patient has
not experience any serious pelvic complications. Patients with this type
of radiation overdose should be immediately referred for emergency
radical prostatectomy