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.