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For post-prostatectomy radiation, are there any special considerations if there is a bladder sling or artificial urinary sphincter?

How long would you wait post procedure? Would you be more mindful of bladder dose or hotspots? Are urinary outcomes different if the surgical procedures are done before or after radiation? Is one procedure preferable to the other?
3 Answers
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Radiation Oncology · University of New Mexico School of Medicine
Answered on

Radiation after a bladder sling or a urinary sphincter can be done, and in my experience is mostly done without major complications. I have done it several times, and I am not aware of any significant problems. There are no prospective studies or randomized studies of which I am aware that can help ...

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Radiation Oncology · VA New Jersey Healthcare System - East Orange campus.
Answered on · Updated on

Great question. I have treated patients with artificial sphincters and penile prosthesis, and the thing I noted was one of the most important thing to do: document the urinary status of his function. I can say that for the most part I typically saw my patients after they have developed PSA progressi...

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Urology · Affiliated Urologist Ltd
Answered on

Post-radiation stress incontinence is a very difficult problem. Success rates are lower, and complication rates are higher with any surgical intervention. I want to introduce a third option into this discussion: the ProAct balloon implants. The success rate will not be higher, but the ease of surger...

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