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How do you approach treating bladder outlet obstruction and urinary retention prior to undergoing radiation for prostate cancer?

2 Answers
Mednet MemberInvited Expert
Urology · Northwell Health Plainview Hospital
Answered on

Prior to radiation, I evaluate any meaningful lower urinary tract symptoms with the IPSS, uroflow, and PVR.

The goal is to identify bladder outlet obstruction or impaired emptying before radiation.

If significant obstruction is present, I prefer to address it before SBRT whenever feasible, so the pa...

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Mednet Member
Urology · Center For Urology
Answered on

The question is vague. The best strategy depends on so many other factors: Gleason score/risk category, staging results, age, comorbidities, underlying bladder health, and quality-of-life preferences.

For most patients with clinically localized disease with symptomatic BPH/obstruction, I offer “hood...

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