Another problem frequently encountered in brachytherapy is pubic arch interference. Given the proximity of the prostate to the pubic arch, the anterior aspect of the prostate often abuts this structure. If pubic arch curves posteriorly around the inferior aspect of the prostate, then access to the anterior prostate with transperineal needles is limited. Some patients may not be eligible for brachytherapy due to this problem with their anatomy.12 This device will allow for angulation of needles such that pubic arch interference may be circumvented by inserting more posteriorly and then angling the needle anteriorly such that the pubic arch is not in the needle path as it travels toward the anterior prostate.