How would you approach an adjuvant prostate cancer case if small bowel falls into the prostate bed?

I try to keep most of it less than 54 and use 56 Gy max point dose for my small bowel constraint. I keep shaving off of the PTV to achieve that. Treating with a full bladder should get most of the bowel out of the field so you can at least treat the bladder neck and the anastomosis which are the reg...