How would you manage prostate cancer in a patient who received prior chemoradiation followed by an APR for rectal cancer?

Patients who have been treated with chemoradiation followed by an APR for rectal cancer and now have prostate cancer and are not surgical candidates do have definitive treatment options despite the previous treatment. Although HDR brachytherapy is usually a great option for patients who have already...

I agree with Dr. @Dr. First Last that salvage CyberKnife is a good option in this setting, and with Dr. @Dr. First Last that salvage pulsed low dose rate IMRT is intriguing, while HDR brachytherapy is considerably more difficult following APR. However, I have treated 2 patients with HDR brachytherap...