What bladder constraints do you use for prostate cancer patients who have a completely empty bladder?

Topics: Radiation Oncology • Genitourinary Cancers

Patients can have this for many reasons including being completely anuric, incontinence, nephrostomy tubes, etc.

Answer from: Radiation Oncologist at Community Practice

There are some situations where there really is no urine in the bladder for which empty bladder constraints are needed. However, the vast majority of the time empty bladder is due to incontinence after prostatectomy. This is an especially important situation since a portion of the bladder is in the ...

Comments

Radiation Oncologist at Stony Brook University School of Medicine
Thank you so much. However, in a patient who is on...

Radiation Oncologist at Maimonides Cancer Center
I once used a Foley to fill the bladder in this ex...

Radiation Oncologist at Prostate Cancer Institute of America
Can your patient get an implant alone?

Answer from: Radiation Oncologist at Academic Institution

I recently treated a dialysis patient with 70/28. I discussed in consult a higher risk of GU toxicity due to the inability to do full bladder given his (nearly) anuric state. He had worse bladder dosimetry than published guidelines due to his condition, but I would not sacrifice PTV coverage signif...

Comments

Radiation Oncologist at Genesis Cancer Care Center
Interesting scenario. Just a thought - how releva...

Radiation Oncologist at Vanderbilt-Ingram Cancer Center
Even while being very oliguric, the patient felt t...

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