How would you treat intermittent hematuria post prostate radiation?

The citation below, good article, and excerpt below, a summary that may answer your question. Our urology colleagues would appreciate it if we initiated a workup like this, but I would always ask the patient to see a urologist as well. HBOT should be considered.

“For grade 1 and grade 2 types, sympt...

Agree with a general workup as noted above.

Would add: If possible, get off blood thinners for two weeks. Stop heavy lifting.

Sometimes finasteride is worthwhile. Delakas et al., PMID 11464120

In many cases, it will simply stop with conservative management.