Topics:
Radiation Oncology • Genitourinary Cancers
How do you manage pelvic pain and hematuria due to recurrent high grade transitional cell bladder cancer who had received 70 Gy to bladder and is not a chemotherapy or surgical candidate?
Answer from: Radiation Oncologist at Academic Institution
It depends whether these symptoms are caused by radiation, recurrence, or both. One might not be able to distinguish.
For hematuria I think a cystoscopy and focal fulguration if that is available to the patient, or else consider hyperbaric oxygen therapy, which may also improve pain (I don&rs...
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Answer from: Radiation Oncologist at Community Practice
If significant time period from first treatment then I have done 1.2 BID to 30s Gy excluding small bowel and rectum