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How do you manage urinary irritative symptoms that persist 6-12 months after radiation therapy for prostate cancer?

Are there diagnostic exams you would complete? What treatment options besides alpha-blockers? Are 5-ARIs useful in management? Is there a stepwise selection of medications for management of chronic urinary irritative symptoms in this clinical scenario?
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How do you manage persistent urinary irritative symptoms 6-12 months post-radiation therapy for prostate cancer?

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