How would you manage a patient with prostate cancer who has a history of total colectomy with primary anastomosis and is not a surgical candidate?  

How would you manage the small bowel/prostatic interface? Have you tried SpaceOAR in this context? SpaceOAR + protons? What dose would you escalate to and what constraints would you use for the small bowel? 



Answer from: Radiation Oncologist at Community Practice