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How do you approach prostate cancer patients with persistent obstructive lower urinary tract symptoms after primary radiation therapy?
Or in patients with metastatic disease on ADT who have not had primary therapy? In what situations do you consider palliative prostatectomy?
Answer from: Radiation Oncologist at Academic Institution
If the persistent LUTS is due to radiation treatment, and medical therapy is not sufficient -- then I would refer the patient to urology for consideration of a channel TURP.
Patients with metastatic cancer can have local (prostate) disease progression and experience significant obstructive symptoms...
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