Is prior prostate SBRT a contraindication to hemorrhoidal banding?  

Patient underwent SBRT without recurrence and now has symptomatic internal hemorrhoids causing intermittent fecal incontinence.  His colorectal surgeon is refusing to band due to prior radiation.

This series suggests that hemorrhoidal procedure after prostate radiation (not SBRT necessarily) is effective.

https://pubmed.ncbi.nlm.nih.gov/30632450/

What have your experiences been?



Answer from: Radiation Oncologist at Academic Institution