Can hydrogel spacer be placed in a previously irradiated pelvis if considering prostate radiation by brachytherapy or SBRT?

Are there any anatomical changes that would make the placement impractical or hurtful for the patient?

Answer from: Radiation Oncologist at Community Practice

The simplest answer to your question is “maybe”. Spacers have been placed in previously irradiated patients. You won’t know until you attempt to hydrodissect during the procedure.

Comments

Radiation Oncologist at Dignity Health Cancer Institute at St. Joseph's Hospital and Medical Center
I routinely utilize hydrogel in cases of salvage H...

Radiation Oncologist at Beth Israel Deaconess Medical Center/Harvard Medical School
I agree. The key is to try. I have found that I ca...

Radiation Oncologist at Tennessee Oncology
I have done this for perhaps 5 cases. I have alway...

Radiation Oncologist at START Center for Cancer Care
I was wondering what dose you can typically give t...

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Can hydrogel spacer be placed in a previously irradiated pelvis if considering prostate radiation by brachytherapy or SBRT?

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