What is your approach to a patient with locally advanced cervical cancer who presents with a fistula (rectal or bladder)?

Topics: Radiation Oncology • Gynecologic Cancers • Brachytherapy • Cervical Cancer

Do you recommend upfront diversion? Are there unique planning considerations such as the inability to use bladder filling? How do you boost? What are long-term functional outcomes?

Answer from: Radiation Oncologist at Community Practice

For bladder fistula, we usually get a bilateral nephrostomy done for diversion and then treat patients with definitive intent with chemo RT with brachy using an interstitial device. We reassess the patient with PET/CT in 3 months and if complete responses, then they get urinary diversion with ideal ...

Comments

Radiation Oncologist at San Angelo Radiation Oncology
Could you comment on your management of an MRI con...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
For these, we usually do diversion colostomy befor...

Related Questions