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Radiation Oncology • Genitourinary Cancers
Is prior prostate SBRT a contraindication to hemorrhoidal banding?
Patient underwent SBRT without recurrence and now has symptomatic internal hemorrhoids causing intermittent fecal incontinence. His colorectal surgeon is refusing to band due to prior radiation.
This series suggests that hemorrhoidal procedure after prostate radiation (not SBRT necessarily) is effective.
https://pubmed.ncbi.nlm.nih.gov/30632450/
What have your experiences been?
Answer from: Radiation Oncologist at Academic Institution
I would agree that there isn't a basis for a blanket denial of doing banding or other anorectal procedures to address QoL issues after prior prostate RT. There is, of course, a significant literature for argon laser, cautery, formalin, etc for radiation proctitis, and so if mucosal interventions are...
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