How do you approach radiotherapy planning when there is no identifiable prostate tissue after HIFU or TURP?

I am not sure why there would be no identifiable prostate tissue. There was apparently enough to detect cancer on biopsy, which is ultrasound-guided, so someone must have seen prostate tissue at that time. I suggest getting a high-quality MRI and a careful review. I would also order a PSMA PET for r...

I have run into this situation a few times (post-ablation biochemical recurrence with no real glandular tissue in the prostatic ‘fossa’), and I haven’t really known what the best course of action was. This question is a bit generic inquiring about both a TURP and HiFU so I will try to reply broadly ...