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Radiation Oncology • Genitourinary Cancers
How would you treat intermittent hematuria post prostate radiation?
Some patients will go on to develop asymptomatic intermittent hematuria which can persist... In patients with scant hematuria, what's your routine care? Do you refer all patients for cystoscopy or continue to monitor if minimal/asymptomatic? Any other frequent monitoring you perform?
Answer from: Radiation Oncologist at Academic Institution
The citation below, good article, and excerpt below, a summary that may answer your question. Our urology colleagues would appreciate it if we initiated a workup like this, but I would always ask the patient to see a urologist as well. HBOT should be considered.
“For grade 1 and grade 2 types...
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Answer from: Radiation Oncologist at Community Practice
Agree with a general workup as noted above.Would add: If possible, get off blood thinners for two weeks. Stop heavy lifting.Sometimes finasteride is worthwhile. Delakas et al., PMID 11464120 In many cases, it will simply stop with conservative management.