Would you recommend salvage XRT in a pt who had RP for high risk prostate cancer who then had recurrence in the bladder s/p cystectomy?

Interesting case. I suspect based on the extent of surgery he has undergone in the lower pelvic region there is plenty of scar tissue and sagging intestines in the region now in addition to residual cancer cells based on the + margins. The latter (intestines) will certainly require lower the total d...