bdean, I am of the opinion, with no medical backround, that one should throw everything available at this beast, which is why three years ago I had surgery followed by rad and chemo. There are people on this forum who have had brachytherapy and if you do s search you can read about it. Perhaps you can ask the doc who recommends it why he does so. If it were me, I am pretty sure I would go for it, just for the peace of mind knowing I had done absolutey everything I could. Let us know how you do.