How do you manage pelvic pain and hematuria due to recurrent high grade transitional cell bladder cancer who had received 70 Gy to bladder and is not a chemotherapy or surgical candidate?   

It depends whether these symptoms are caused by radiation, recurrence, or both.  One might not be able to distinguish. For hematuria I think a cystoscopy and focal fulguration if that is available to the patient, or else consider hyperbaric oxygen therapy, which may also improve pain (I don&rs...

If significant time period from first treatment then I have done 1.2 BID to 30s Gy excluding small bowel and rectum