Is there any threshold regarding extraprostatic extension to contraindicate a rectal spacer?   

This is an important question, and as far as I know there are no data to guide a response.  I personally believe that EPE (within reason) is not a contraindication to hydrogel.  One would expect the extension, capsule and prostate to lift in unison, depending on where the extension is.&nbs...

Fascinating question: And as several prior good answers have noted, ECE happens routinely, no matter how tightly we screen the patients. So certainly, from time to time, there will be at least a scattering of bad cells on the "wrong side of SpaceBlob." My indication for no spacer to date has been r...

Let's clearly state the concern here: are there circumstances in which our attempt to lower rectal dose and complications may lead to a higher risk of disease recurrence?  And if the chronic bowel toxicity rate is lowered by an absolute value of 5%, but the recurrence rate is raised by 1%, is t...