How do you approach definitive radiation in a patient with an indwelling catheter due to obstruction from locally advanced prostate cancer?

This is a situation I encounter several times per year. The answer depends on whether or not I am being consulted strictly for palliation of the obstructive symptoms, or for curative intent therapy.

For strictly palliation in a man who has already been on ADT/Abi/Enza/Chemo etc with progression, whe...