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Radiation Oncology • Genitourinary Cancers
How do you simulate and treat prostate cancer patients on dialysis receiving EBRT?
Do you sim and treat with their bladder as is? Or do you have patients who do urinate fill their bladder somewhat? Fluid overload is often a consideration in these patients as well. Do you have special instructions for a bowel regimen while on treatment?
Answer from: Radiation Oncologist at Community Practice
This is a great question and agree that the fluid restriction needs to be taken into account. Talking to the patient's nephrologist and cardiologist can be helpful. Having spoken to nephrology and cardiology on patients on dialysis, if the patient does not have heart failure it can be easy to still ...
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Answer from: Radiation Oncologist at Community Practice
Great question. To me, the issue of caring for PC patients needing curative doses of radiotherapy while on hemo-dialysis, is an interesting clinical challenge that I have faced over the many years, and on reflecting, no one case is similar to the other. It is always a mix and match clinical scenario...