Would you recommend definitive XRT for prostate cancer in patients with prior Holmium Laser Enucleation of the Prostate (HoLEP)?

Topics: Radiation Oncology • Genitourinary Cancers

Answer from: Radiation Oncologist at Community Practice

There are multiple options for outlet procedures in patients who present with baseline obstructive symptoms but prefer to avoid a radical prostatectomy. HoLEP is an effective procedure preferred by some urologists due to low re-treatment rates. HoLEP can often be quite aggressive leading to marked r...

Comments

Radiation Oncologist at Duke University School of Medicine
I agree with Dr. @Ward. It is important to allow t...

Radiation Oncologist at Community Health Network
I have waited for 6 months just to make sure that ...

Radiation Oncologist at Baylor Scott & White Health
The question really becomes, would you feel comfor...

Radiation Oncologist at Henry Ford Cancer Institute
For patients without obstructive symptoms s/p HoLE...

Answer from: Radiation Oncologist at Academic Institution

HOLeP is not a cancer treatment, so prostate cancer patients still require definitive XRT.In terms of fractionation scheme, limited data in this scenario: Laughlin et al., PMID 35790091.Of 18 Mayo clinic patients, most got conventional, while 3 got mod hypofx and 1 got SBRT.Institutionally, we wait ...

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