How long do you wait to start adjuvant radiation after prostatectomy?  

Generally, I will wait until the patient has recovered urinary continence before beginning adjuvant RT. In most cases, that will occur by about 3 months, but I have had patients in which I have waited as long as 12 months before beginning adjuvant RT because continence was slow to recover. In cases ...

The data on continence recovery and radiation is conflicting. The patient is not high risk but we want to proceed with radiation. I’m comfortable waiting 3 to 4 months and we proceed with aggressive pelvic floor therapy with a specialized physical therapist. If the patient is very high risk, w...