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Bladder Necrosis Following Radiation
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Bladder Necrosis Following Radiation

I have been diagnosed with a hole in the bladder neck as a result of radiation therapy.  The doctors advise that I will need a Suprapubic Tube or Ileal Conduit Urinary Diversion.  They say the necrosis in the area doesn't leave any other alternatives.  I currently have a Foley in place and find it difficult to believe that there is not another way to conquer this problem without requiring a catheter?  I've heard tha Hyperbaric Oxygen Therapy may help but do you know of other alternatives?
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Thank you for your question.

Unfortunately,  radiation therapy may result in situations such as yours.  Without a full evaluation it is difficult for me to offer you with alternatives specifically catered to your current situation but the treatment options you mention are certainly options. if the necrosis is extensive, repair of your bladder may not be an option and you may require some sort of diversion.  i suggest you discuss these and other therapies with your urologist.  if you are unsatisfied with the options they have presented, you may want to seek a second opinion.

Best,
AT
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