How would you manage a patient with a history of prostate radiation who is presenting with LUTS and elevated PVR?

This can be a very difficult problem, because the risk of stressing continence following prostatic resection in the radiated patient is much higher than in the non-radiated patient. Following brachytherapy, stress incontinence can occur more than half the time, and following external beam radiation ...

Lower urinary tract symptoms (LUTS) are common after radiation treatment but often improve with time. It's important to understand the complaints and if anything was present before. Elevated post-void residuals (PVRs) can be structural in nature. The prostate does shrink at least 20% with radiation,...

I use the same workflow as for my non-irradiated BPH patients: IPSS symptom score, prostate sizing, UroFlow, and cystoscopy with trial of medication. If still symptomatic despite maximum medical therapy, I offer Aquablation. Among the few cases I’ve done post-radiation, there were no issues with inc...