How do you treat a rectoprostatic fistula after prostate SBRT?

Answer from: Radiation Oncologist at Academic Institution

This is a difficult problem to manage, regardless of whether it occurs after SBRT or any other type of prostate radiation. It will require close cooperation between multiple specialists. Early involvement of a gastroenterologist and a colorectal surgeon is imperative as this is likely to require a d...

Comments

Radiation Oncologist at Coastal Radiation Oncology
I am dealing with a similar issue at the moment. M...

Radiation Oncologist at Community Care Physicians
The only patient who had a rectal fistula, in thou...

Radiation Oncologist at Delaware Valley Urology Cancer Treatment Center
For your not to biopsy recommendation, do you rela...

Radiation Oncologist at Virginia Commonwealth University Medical Center
Depends on the situation. If you’re suspecti...

Answer from: Radiation Oncologist at Community Practice

As @Mitchell S. Anscher emphasized, managing a rectoprostatic fistula requires multi-disciplinary care. Unfortunately, that can be a double-edged sword without the radiation oncologist stepping up to safeguard the patient's passage from specialist to specialist. A best practice is to stay on top of ...

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How do you treat a rectoprostatic fistula after prostate SBRT?

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