What is your approach to a patient with locally advanced cervical cancer who presents with a fistula (rectal or bladder)?

Do you recommend upfront diversion? Are there unique planning considerations such as the inability to use bladder filling? How do you boost? What are long-term functional outcomes?

Answer from: Radiation Oncologist at Community Practice

For bladder fistula, we usually get a bilateral nephrostomy done for diversion and then treat patients with definitive intent with chemo RT with brachy using an interstitial device. We reassess the patient with PET/CT in 3 months and if complete responses, then they get urinary diversion with ideal ...

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Radiation Oncologist at San Angelo Radiation Oncology
Could you comment on your management of an MRI con...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
For these, we usually do diversion colostomy befor...

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What is your approach to a patient with locally advanced cervical cancer who presents with a fistula (rectal or bladder)?

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