Do you manage a patient with a prior simple suprapubic prostatectomy differently from a patient with a prior radical retropubic prostatectomy?  

Do you make any changes to treatment volumes or dose?

After simple suprapubic prostatectomy, the prostate often grows back and patients may have standard 12 core needle biopsies.  In that instance, should the patient be treated like an intact prostate to full dose and should the treatment volume avoid bladder neck?  Alternatively, should bladder neck be included in the treatment field and if so what should be total dose?