If you saw a medically inoperable patient for chemoRT for muscle-invasive bladder cancer who had a congenital recto-urethral fistula, would you deliberately exclude the prostate/prostatic urethra from the target volume?

First, I would want to know about this fistula and why it couldn't be addressed when the patient was a child (what other medical factors might be involved?). Also, the exact location of the fistula would help inform a response to this question. Finally, the nature and location of the bladder tumor i...