What rectal spacer do you recommend for prostate cancer patients?
Do you prefer SpaceOAR vs Barrigel and why?
Answer from: Radiation Oncologist at Academic Institution
I’ve only ever worked with SpaceOARs. I’d be interested to hear from providers who have gotten to work with both. There are similarities between both. A similar amount of total volume is injected with either procedure. Both products begin natural resorption around 3 months after pla...
Answer from: Radiation Oncologist at Community Practice
Either SpaceOAR or Barrigel
Recommended for...
Chronic anticoagulation, or
Inflammatory bowel disease
Not recommended for...
Central T3 or T4 disease, or
When there is scarring of the potential space (e.g., due to prior surgery or radiotherapy or rectovesical fistula)
Opti...
Comments
Radiation Oncologist at Kansas City VA Medical Center I don’t use fiducials nor Spacer, I use non ...
Radiation Oncologist at Jacob E Locke MD PA The AVOID technique wins!
Answer from: Radiation Oncologist at Community Practice
We’re seeing an evolution in rectal spacers – and like ChatGPT or any disruptive technology, rectal spacing is about to go to another level: I've put in thousands of SpaceOars (and was an investigator in the 2015 FDA pivotal trial) and have experience using Barrigel since its approval ea...
Comments
Radiation Oncologist at Tennessee Oncology Doesn’t this balloon require an obturator to...
Radiation Oncologist at Jacob E Locke MD PA Need to see good data before I'll consider adoptin...
Answer from: Radiation Oncologist at Community Practice
Most of my experience has been with the SpaceOAR. We did try out the Barrigel, and it is more sculptable, however, I went back to the SpaceOAR. Having the contrast in the SpaceOAR makes it a huge fiducial and lets you know absolutely where the posterior margin of your prostate is during treatment.
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