In a patient with anorectal SCC, T2N0, with a history of bladder prolapse managed with pessary, would the pessary need to be removed prior to radiation?

I don't see a problem having a pessary in place at the time of each treatment, if the patient needs it in place in order to function. To reduce the risk of long-term vaginal stenosis, these patients should also have a vaginal spacer inserted at the time of each radiation treatment to better spare th...